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Organization
UNIVERSITY NEUROSURGICAL, PC
Active
Organization
UNIVERSITY NEUROSURGICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAEID ALEMO MD (PRESIDENT)
(215) 331-0126
Entity
Organization
Contact information
Practice address
2630 HOLME AVE, SUITE 103, PHILADELPHIA, PA 19152-3009
(215) 331-0126
(215) 331-0520
Mailing address
2630 HOLME AVE, SUITE 103, PHILADELPHIA, PA 19152-3009
(215) 331-0126
(215) 331-0520
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
MD037547L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010204560002
—
PA
01
—
00530
HEALTH PARTNERS
PA
01
—
0092191204
AMERICHOICE
PA
01
—
2362350000
KEYSTONE EAST
PA
01
—
30039
AETNA
PA
01
—
30830
KEYSTONE MERCY
PA
Enumeration date
05/19/2006
Last updated
08/22/2020
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