Organization · Type 2 NPI

Ophelia Medical Group, P.c.

Addiction Medicine (Psychiatry & Neurology) Physician · Philadelphia, PA

NPI number 1376179150 Active

Practice location

161 Cecil B Moore Ave Apt 204
Philadelphia, PA 19122-3243

Mailing address

755 Park Ave Apt 4A
New York, NY 10021-4282

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse 163WA0400XNone listed
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XNone listed

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

12 other providers at this address

Other addiction medicine (psychiatry & neurology) physician providers in Philadelphia

See all in Philadelphia →

About NPI 1376179150

Ophelia Medical Group, P.c.'s National Provider Identifier is 1376179150, issued on Mar 12, 2020. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 11, 2020.