| NPI | 1487308169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BARRY BRONSTEIN President 610-389-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |