| NPI | 1013374354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIVEDITA MATHUR Owner 484-896-0245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME121537) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME121537) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2023-04-21 |