Organization
PENNSYLVANIA NEUROSURGERY AND NEUROSCIENCE INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA POWERS (PRACTICE ADMINISTRATOR)
(717) 920-7664
Entity
Organization
Contact information
Practice address
4310 LONDONDERRY ROAD, SUITE 202, HARRISBURG, PA 17109
(717) 920-7664
(717) 920-4361
Mailing address
4310 LONDONDERRY ROAD, SUITE 202, HARRISBURG, PA 17109
(717) 920-7664
(717) 920-4361
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
047130L
PA
2084N0400X
Neurology Physician
MD0706202L
PA
2084N0400X
Neurology Physician
MD430341
PA
363AS0400X
Surgical Physician Assistant
MA003389L
PA
363AS0400X
Surgical Physician Assistant
MA054914
PA
Other
Enumeration date
06/20/2006
Last updated
08/15/2013
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