FADY PHILIP MICHAIL

EWING, NJ
NPI1063847663
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ  37AC00124300)
Enumeration Date2013-09-13
Last Update Date2013-09-13
Business Address
-- FADY PHILIP MICHAIL MA, LAC
2109 PENNINGTON RD
EWING, NJ 08638-1400
Phone number: 610-644-6464
Mailing Address
-- FADY PHILIP MICHAIL MA, LAC
1440 RUSSELL RD
PAOLI, PA 19301-1236
Phone number: 610-644-6464