Organization
PRIMENEUROPHYSIOLOGY LLC
Active
Parent organization
PREMIER NEUROPHYSIOLOGY
Other names
Premier Neurophysiologist
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER NEUROPHYSIOLOGY
Authorized official
MR. WIDNY PIERRE SPECIALIST CNIM (SPECIALIST/TECHNOLOGIST)
(908) 590-1917
Entity
Organization
Contact information
Practice address
525 ROUTE 73 N STE 104, MARLTON, NJ 08053-3422
(908) 590-1917
Mailing address
525 ROUTE 73 N STE 104, MARLTON, NJ 08053-3422
(908) 590-1917
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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