Organization
GNI NEURO CRITICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S. AUSIM AZIZI MD (AUTHORIZED OFFICIAL)
(844) 464-6387
Entity
Organization
Contact information
Practice address
ONE MEDICAL CENTER BLVD., ACP, SUITE 232, CHESTER, PA 19013-3902
(844) 464-6387
(215) 239-3037
Mailing address
ONE MEDICAL CENTER BLVD., ACP, SUITE 232, CHESTER, PA 19013-3902
(844) 464-6387
(215) 239-3037
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
04/24/2020
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