| NPI | 1306163043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD FREDERICK LIMOGES Owner 215-546-6437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD008109E) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: PA MD008109E) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: PA MD008109E) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |