| NPI | 1609252972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESTER N FOGELSANGER Owner 215-760-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD427836) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |