Organization
PENN NEUROLOGY AND PSYCHIATRY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IQBAL KHAN M.D. (PRESIDENT)
(570) 909-9411
Entity
Organization
Contact information
Practice address
340 MONTAGE MOUNTAIN RD, SUITE D, MOOSIC, PA 18507-1782
(570) 909-9411
(866) 259-6004
Mailing address
340 MONTAGE MOUNTAIN RD, SUITE D, MOOSIC, PA 18507-1782
(570) 909-9411
(866) 259-6004
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD052377L
PA
174400000X
Specialist
MD065153L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011631480001
—
PA
Enumeration date
09/15/2006
Last updated
06/29/2015
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