Individual
MARK LAWRENCE DEMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7318 BRYAN ST, PHILADELPHIA, PA 19119-1634
(610) 357-2408
(215) 248-6206
Mailing address
7318 BRYAN ST, PHILADELPHIA, PA 19119-1634
(610) 357-2408
(215) 248-6206
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD018052E
PA
Other
Enumeration date
08/21/2012
Last updated
05/11/2016
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