Organization
GARG BEHAVIORAL HEALTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK S GARG MD (PRESIDENT)
(215) 665-5618
Entity
Organization
Contact information
Practice address
702 AUTUMN RIVER RUN, PHILADELPHIA, PA 19128-4359
(215) 665-5618
Mailing address
1500 MARKET ST, 12TH FLOOR, PHILADELPHIA, PA 19102-2100
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
MD420117
PA
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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