Organization
INSTITUTIONAL PSYCHIATRIC CONSULTATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE PANZER MD (CHAIRMAN OWNER)
(610) 324-4930
Entity
Organization
Contact information
Practice address
414 PAOLI PIKE, MALVERN, PA 19355
(610) 651-0657
(610) 722-0704
Mailing address
414 PAOLI PINE, MALVERN, PA 19355-3311
(610) 324-4930
(610) 722-0704
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD050187-L
PA
Other
Enumeration date
05/30/2007
Last updated
07/31/2019
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