OrganizationActive
Medical Psychiatric Associates of Delaware Valley
NPI 1376570630 · Geriatric Psychiatry Physician · Philadelphia, PA
Provider details
- NPI number
- 1376570630
- Entity type
- Organization
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ellen Gittleman, Office Manager(215) 831-7932
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Practice location
4641 Roosevelt Blvd
Philadelphia, PA 19124-2343
Phone: (215) 831-7932
Approximate (ZIP-level) locationGet directions
Mailing address
4641 Roosevelt Blvd
Philadelphia, PA 19124-2343
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2014-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.