| NPI | 1376570630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN GITTLEMAN Office Manager 215-831-7932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2014-04-21 |