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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 Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for EXECUTIVE CENTER FOR PSYCHOLOGICAL MEDICINE

NPI Number 1821555376
LBN Legal business name EXECUTIVE CENTER FOR PSYCHOLOGICAL MEDICINE
Authorized official BABATUNDE ADETUNJI - (PSYCHIATRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/20/2019
Last updated 02/20/2019 - About 7 years ago
Identifiers
NJ Medicaid 0202266
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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