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
—
—
261Q00000X
Clinic/Center
101200
PA
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018467050006
—
PA
Enumeration date
10/09/2006
Last updated
07/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us