Organization
PHILLY NEWLIFE SUBOXONE CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJAY SINGHAL MD (PROVIDER)
(215) 966-8666
Entity
Organization
Contact information
Practice address
3477 SAINT VINCENT ST, PHILADELPHIA, PA 19149-1628
(215) 966-8666
(215) 780-1779
Mailing address
3477 SAINT VINCENT ST, PHILADELPHIA, PA 19149-1628
(215) 966-8666
(215) 780-1779
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
01/29/2018
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