| Tamar J Port | |
|
826 Village Cir Blue Bell PA 19422-1639 | |
| (215) 530-2564 | |
| Not Available |
| Full Name | Tamar J Port |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 826 Village Cir, Blue Bell, Pennsylvania |
| Authorized Official Name and Position | Tamar Judith Port (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2155302564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamar J Port 826 Village Cir Blue Bell PA 19422-1639 Ph: (215) 530-2564 | Tamar J Port 826 Village Cir Blue Bell PA 19422-1639 Ph: (215) 530-2564 |
| NPI Number | 1417335365 |
|---|---|
| Provider Enumeration Date | 05/12/2015 |
| Last Update Date | 05/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417335365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW000153L (Pennsylvania) | Primary |
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