Awaken Your Mastery
Organization Active NPI Psychiatry Physician · Blackwood, NJ
NPI 1104295328 · NPPES record last updated Sep 17, 2015
Key facts
- NPI
- 1104295328
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- AWAKEN YOUR MASTERY
- Practice address
- 141 S Black Horse Pike
Ste 104
Blackwood, NJ 08012-2975 - Phone
- (856) 393-1991
- NPI assigned
- Sep 17, 2015
- Organization subpart
- No
Authorized official
- Name
- Allen Masry, MD
- Title
- Sole Owner
- Phone
- (856) 393-1991
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
141 S Black Horse Pike
Ste 104
Blackwood, NJ 08012-2975
Mailing address
141 S Black Horse Pike
Ste 104
Blackwood, NJ 08012-2975
Phone (856) 393-1991
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All providers in Blackwood, NJ · Psychiatry Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.