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THADDEUS R TEMPLE
1221 N BROAD ST NEW ORLEANS LA 701193302

THADDEUS R TEMPLE is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1801854161. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 2769585272. The primary specialty is INTERNAL MEDICINE. The organization is . The address is 1221 N BROAD ST, , NEW ORLEANS, LA, 701193302. The zip code is 701193302.


Nation Provider ID1801854161
PAC ID by PECOS2769585272
Professional Enrollment IDI20070321000080
NameTHADDEUS R TEMPLE
Medical School NameLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year1983
Primary SpecialtyINTERNAL MEDICINE
All secondary specialties
Organization Name
Group Practice PAC ID
Number of Group Practice members0
Address1221 N BROAD ST, , NEW ORLEANS, LA, 701193302
Hospital affiliation LBNTOURO INFIRMARY
Graduation Year1983
Contact Number5044829755
Email Address[Show_Email_ID]

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