Provider Demographics
NPI:1558427351
Name:LIPSCHUTZ, MARC HARRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:HARRIS
Last Name:LIPSCHUTZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2137 MOUNT VERNON ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-3133
Mailing Address - Country:US
Mailing Address - Phone:215-232-5323
Mailing Address - Fax:215-569-1882
Practice Address - Street 1:2200 BENJAMIN FRANKLIN PKWY
Practice Address - Street 2:E-109
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-3601
Practice Address - Country:US
Practice Address - Phone:215-569-1882
Practice Address - Fax:215-569-1882
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PAMD017056E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry