# WASHINTON TWP NEUROLOGY ASSOCIATES, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WASHINGTON TOWNSHIP NEUROLOGY ASSOCIATES, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053447995
- **Authorized official:** DR. PRAVIN B. VASOYA M.D. (CHAIRMAN)
- **Authorized official phone:** (856) 256-2600

## Contact information

- **Practice address:** GANTTOWN PROFESSIONAL PLAZA, 438 GANTTOWN ROAD, SUITE B-3, SEWELL, NJ 08080
- **Practice address phone:** (856) 256-2600
- **Practice address fax:** (856) 256-2516
- **Mailing address:** GANTTOWN PROFESSIONAL PLAZA, 438 GANTTOWN ROAD, SUITE B-3, SEWELL, NJ 08080
- **Mailing address phone:** (856) 256-2600
- **Mailing address fax:** (856) 256-2516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MA07368500 | NJ | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 08/22/2020