Organization
EXECUTIVE CENTER FOR PSYCHOLOGICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BABATUNDE ADETUNJI MD (PSYCHIATRIST)
(267) 918-9672
Entity
Organization
Contact information
Practice address
701 WHITE HORSE RD STE C-101, VOORHEES, NJ 08043-2494
(267) 918-9672
Mailing address
701 WHITE HORSE RD STE C-101, VOORHEES, NJ 08043-2494
(267) 918-9672
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
2084P0015X
Psychosomatic Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0202266
—
NJ
Enumeration date
02/20/2019
Last updated
02/20/2019
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