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NPI 1619184785

NPI 1619184785 : NEWTOWN PSYCHIATRIC ASSOC : BENSALEM, PA

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General NPI Number Information
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    NPI Number           |    1619184785
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEWTOWN PSYCHIATRIC ASSOC 
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Dates
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    Enumeration Date     |    05/17/2007
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    Last Update Date     |    06/10/2014
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Provider Practice Location Address
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    Address Line         |    3070 BRISTOL PIKE STE 2-202 
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    City                 |    BENSALEM
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    State                |    PA
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    Zip                  |    19020-5361
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    Country              |    US
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    Telephone            |    215-497-1001
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    Fax                  |    215-639-5012
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Provider Business Mailing Address
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    Address Line         |    3070 BRISTOL PIKE STE 2-202 
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    City                 |    BENSALEM
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    State                |    PA
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    Zip                  |    19020-5361
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    Country              |    US
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    Telephone            |    215-497-1001
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    Fax                  |    215-639-5012
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ALBERT  SYDNEY 
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    Credential           |    MD
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    Telephone            |    215-497-1001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    MD015785E
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    License Number State |    PA
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