Organization
OPHELIA MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR ROBINSON WILLIAMS IV MD (MEDICAL DIRECTOR)
(267) 984-1732
Entity
Organization
Contact information
Practice address
161 CECIL B MOORE AVE APT 204, PHILADELPHIA, PA 19122-3243
(917) 370-4364
Mailing address
755 PARK AVE APT 4A, NEW YORK, NY 10021-4282
(917) 370-4364
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
08/11/2020
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