Organization
PENNSYLVANIA NEUROLOGICAL ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEB NULL (OFFICE MANAGER)
(717) 774-2202
Entity
Organization
Contact information
Practice address
110 LOWTHER ST, LEMOYNE, PA 17043-2012
(717) 774-2202
(717) 774-2634
Mailing address
110 LOWTHER ST, LEMOYNE, PA 17043-2012
(717) 774-2202
(717) 774-2634
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD045352E
PA
2084N0400X
Neurology Physician
MD046124L
PA
2084N0400X
Neurology Physician
MD069690L
PA
2084N0400X
Neurology Physician
MD073033L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049923NOC
MEDICARE ID
—
01
—
1083679559
NPI INDIV
—
01
—
1174588644
NPI INDIV
—
01
—
1427009521
INDIVIDUAL NPI
—
01
—
1861456675
NPI INDIV
—
Enumeration date
09/27/2006
Last updated
08/03/2011
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