National Provider Identifier Database

EXECUTIVE CENTER FOR PSYCHOLOGICAL MEDICINE
Addiction Medicine

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine


Contact Information

EXECUTIVE CENTER FOR PSYCHOLOGICAL MEDICINE
701 WHITE HORSE RD STE C-101
VOORHEES TOWNSHIP, NJ08043-2494
Phone: 267-918-9672
Fax:
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X
Neurology 2084N0400X
Psychiatry 2084P0800X
Psychosomatic Medicine 2084P0015X

* Indicates primary specialty

NPI Profile & details for EXECUTIVE CENTER FOR PSYCHOLOGICAL MEDICINE

NPI Number 1821555376
Legal business name
LBN
EXECUTIVE CENTER FOR PSYCHOLOGICAL MEDICINE
Authorized official BABATUNDE ADETUNJI - (PSYCHIATRIST)
Entity Organization
Organization subpart No
Enumeration date 02/20/2019
Last updated 02/20/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ Medicaid: 0202266

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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