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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 ID||1801854161|
|PAC ID by PECOS||2769585272|
|Professional Enrollment ID||I20070321000080|
|Name||THADDEUS R TEMPLE|
|Medical School Name||LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS|
|Primary Specialty||INTERNAL MEDICINE|
|All secondary specialties|
|Group Practice PAC ID|
|Number of Group Practice members||0|
|Address||1221 N BROAD ST, , NEW ORLEANS, LA, 701193302|
|Hospital affiliation LBN||TOURO INFIRMARY|