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Organization

LAND MEDICAL, INC.

Active
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Organization

LAND MEDICAL, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HENRY I BALOGUN PH.D. (CHAIRMAN/CEO)
(267) 993-0256
Entity
Organization

Contact information

Practice address
4 NESHAMINY INTERPLEX DR STE 101, FEASTERVILLE TREVOSE, PA 19053-6940
(215) 294-6790
Mailing address
4 NESHAMINY INTERPLEX DR STE 101, FEASTERVILLE TREVOSE, PA 19053-6940
(215) 294-6790

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
261Q00000X
Clinic/Center
101200
PA
261Q00000X
Clinic/Center
—
NULL

Other

Enumeration date
10/09/2006
Last updated
07/09/2025
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