Organization
NEUROLOGY CENTER OF PHILADELPHIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL SHAMAYEV MD (PRESIDENT)
(215) 870-2551
Entity
Organization
Contact information
Practice address
9922 ROOSEVELT BLVD, PHILADELPHIA, PA 19115-1705
(215) 870-2551
Mailing address
9922 ROOSEVELT BLVD, PHILADELPHIA, PA 19115-1705
(215) 870-2551
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD432308
PA
Other
Enumeration date
01/20/2011
Last updated
02/14/2011
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