| Crozer-keystone Psychiatry Upland | |
|
1 Medical Center Blvd Pob 1, Suite 407 Chester PA 19013-3902 | |
| (610) 874-5257 | |
| (601) 874-7241 |
| Full Name | Crozer-keystone Psychiatry Upland |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1 Medical Center Blvd, Chester, Pennsylvania |
| Authorized Official Name and Position | Robert Jon Elders (SECRETARY) |
| Authorized Official Contact | 7147881249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crozer-keystone Psychiatry Upland 1 Medical Center Blvd Pob 1, Suite 407 Chester PA 19013-3902 Ph: (610) 874-5257 | Crozer-keystone Psychiatry Upland 1 Medical Center Blvd Pob 1, Suite 407 Chester PA 19013-3902 Ph: (610) 874-5257 |
| NPI Number | 1700231297 |
|---|---|
| Provider Enumeration Date | 05/03/2016 |
| Last Update Date | 01/15/2021 |
| Certification Date | 01/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700231297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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