# LAND MEDICAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568559714
- **Authorized official:** DR. HENRY I BALOGUN PH.D. (CHAIRMAN/CEO)
- **Authorized official phone:** (267) 993-0256

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 07/09/2025