NPI | 1255878872 |
---|---|
Entity Type | Organization |
Authorized Contact | KUNAL TANK Owner Of Entity 215-353-6062 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35-122705) |
Enumeration Date | 2017-01-20 |
Last Update Date | 2017-01-20 |