Individual
IRMGARD K A BERTELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
415 SOUTH VAN PELT STREET, SUITE F2, PHILADELPHIA, PA 19146
(215) 546-9134
Mailing address
2322 SPRUCE STREET, PHILADELPHIA, PA 19103
(215) 546-9134
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD043818L
PA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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