# NEUROLOGICAL GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205378163
- **Authorized official:** LAURENCE I RADIN MD (PRESIDEN)
- **Authorized official phone:** (860) 443-1891

## Contact information

- **Practice address:** 350 MONTAUK AVE, NEW LONDON, CT 06320-4730
- **Practice address phone:** (860) 443-1891
- **Practice address fax:** (860) 443-2980
- **Mailing address:** 350 MONTAUK AVE, NEW LONDON, CT 06320-4730
- **Mailing address phone:** (860) 443-1891
- **Mailing address fax:** (860) 443-2980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 003463 | CT | Yes |

## Other

- **Enumeration date:** 11/09/2016
- **Last updated:** 01/03/2017