| NPI | 1023428737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA T DEL BUSTO Doctor 215-565-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2018-03-20 |