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Organization

SIGNATURE NEUROLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HARI SUDAN (BILLING MANAGER)
(866) 364-3282
Entity
Organization

Contact information

Practice address
47 CAMBRIDGE RD, HAVERFORD, PA 19041-1006
(610) 761-7438
(610) 744-2420
Mailing address
47 CAMBRIDGE RD, HAVERFORD, PA 19041-1006
(610) 761-7438
(610) 744-2420

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
MD-042757-L
PA

Other

Enumeration date
05/20/2014
Last updated
05/20/2014
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