Organization
NEUROSPINE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVANAND ANTHONY DOMINIQUE MD (OWNER)
(717) 727-7131
Entity
Organization
Contact information
Practice address
895 S ARLINGTON AVE, HARRISBURG, PA 17109-5004
(717) 727-7131
(717) 980-5147
Mailing address
895 S ARLINGTON AVE, HARRISBURG, PA 17109-5004
(717) 727-7131
(717) 980-5147
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD420830
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477541456
NPI
PA
Enumeration date
02/08/2016
Last updated
03/03/2017
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