Organization
NEUROLOGY AND PAIN MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN UNGAR-SARGON MD (OWNER)
(219) 866-7222
Entity
Organization
Contact information
Practice address
130 PROFESSIONAL CT STE D, LAFAYETTE, IN 47905-5153
(765) 446-8888
(219) 866-7001
Mailing address
123 S MCKINLEY AVE, RENSSELAER, IN 47978-2949
(219) 866-7222
(219) 866-7001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01040129A
MEDICAL LICESNE
IN
Enumeration date
01/25/2019
Last updated
06/09/2021
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