Provider Demographics
NPI:1508139288
Name:KEYSTONE CLINICAL STUDIES, LLC
Entity Type:Organization
Organization Name:KEYSTONE CLINICAL STUDIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VERGHESE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-277-8073
Mailing Address - Street 1:5610 LIMEPORT RD
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-4649
Mailing Address - Country:US
Mailing Address - Phone:610-277-8073
Mailing Address - Fax:
Practice Address - Street 1:2460 GENERAL ARMISTEAD AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19403-5239
Practice Address - Country:US
Practice Address - Phone:610-737-7843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-11
Last Update Date:2012-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 04556L261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health