Individual
DR. ROBERT BRYAN CHAMBLISS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4641 ROOSEVELT BLVD, SUITE C229, PHILADELPHIA, PA 19124-2343
(215) 831-4811
(215) 831-2603
Mailing address
1601 CHERRY ST, SUITE 111511, PHILADELPHIA, PA 19102-1321
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD062386L
PA
Other
Enumeration date
06/28/2006
Last updated
08/16/2007
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