| NPI | 1790418507 |
|---|---|
| Doing Business As | VITAL PSYCH MD LLC |
| Entity Type | Organization |
| Authorized Contact | KALVIN KAPOOR Owner 610-306-2618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2024-12-04 |