Organization
NEUROLOGIC ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM STOVER WIGGINS M.D. (PRESIDENT)
(215) 348-4620
Entity
Organization
Contact information
Practice address
41 E ASHLAND ST, DOYLESTOWN, PA 18901-4628
(215) 348-4620
(215) 348-7240
Mailing address
41 E ASHLAND ST, DOYLESTOWN, PA 18901-4628
(215) 348-4620
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD015821E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007254740001
—
PA
01
—
0022237000
PROV NUMBER IBC
PA
01
—
6161
AETNA PROV NUMBER
PA
Enumeration date
04/27/2006
Last updated
11/15/2017
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