Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Temple University of the Commonwealth System of Higher Education

Organization Pediatric Critical Care Medicine Physician · NPI 1124234810

Temple University of the Commonwealth System of Higher Education provides Pediatric Critical Care Medicine Physician services in Philadelphia, Pennsylvania. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

3509 N Broad St
Philadelphia, PA 19140-4105
Phone: (215) 707-6068
Fax: (215) 707-6085
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X

Record details

NPI number1124234810
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Kupp — Cfo · (215) 707-4739
Other names Temple Critical Care Peds Tucmc
NPI enumeratedMay 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3425 N Carlisle St, 2nd Fl Hudson Building, Philadelphia, PA 19140-5108

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