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Organization

EDISON NEUROLOGIC ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORRAINE BARANOWSKI (OFFICE MANAGER)
(908) 757-6633
Entity
Organization

Contact information

Practice address
34-36 PROGRESS ST, SUITE B-3, EDISON, NJ 08820-1197
(908) 757-6633
(908) 757-3912
Mailing address
34-36 PROGRESS ST, SUITE B-3, EDISON, NJ 08820-1197
(908) 757-6633
(908) 757-3912

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3084906
NJ
Enumeration date
02/23/2007
Last updated
09/28/2007
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