| Medical Psychiatric Associates Of Delaware Valley | |
|
4641 Roosevelt Blvd Philadelphia PA 19124-2343 | |
| (215) 831-7932 | |
| Not Available |
| Full Name | Medical Psychiatric Associates Of Delaware Valley |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4641 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Ellen Gittleman (OFFICE MANAGER) |
| Authorized Official Contact | 2158317932 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Psychiatric Associates Of Delaware Valley 4641 Roosevelt Blvd Philadelphia PA 19124-2343 Ph: (215) 831-7932 | Medical Psychiatric Associates Of Delaware Valley 4641 Roosevelt Blvd Philadelphia PA 19124-2343 Ph: (215) 831-7932 |
| NPI Number | 1376570630 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 04/21/2014 |
| Medicare PECOS PAC ID | 2567441991 |
|---|---|
| Medicare Enrollment ID | O20040719000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376570630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Eduard Kraychik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689611196 PECOS PAC ID: 3971497348 Enrollment ID: I20060706000012 |
| Provider Name | Timothy C Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508836057 PECOS PAC ID: 5294797775 Enrollment ID: I20101015000224 |
| Provider Name | Mark A Mcclurg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407826928 PECOS PAC ID: 2567424047 Enrollment ID: I20101022000458 |
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