Organization
THE NEUROPSYCHIATRIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL R AGUILO-SEARA M.D. (PRESIDENT)
(610) 277-5022
Entity
Organization
Contact information
Practice address
104 EGYPT RD, JEFFERSONVILLE, PA 19403-3029
(610) 277-5022
(610) 277-5023
Mailing address
104 EGYPT RD, JEFFERSONVILLE, PA 19403-3029
(610) 277-5022
(610) 277-5023
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019469990063
—
PA
01
—
1397822
BLUE SHIELD
PA
01
—
2216948000
PERSONAL CHOICE
PA
01
—
486426000
MIS
PA
Enumeration date
07/09/2006
Last updated
05/09/2008
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