Organization
NEUROLOGY ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA GRISOLIA (OFFICE MANAGER)
(215) 463-3349
Entity
Organization
Contact information
Practice address
1514 WOLF ST, PHILADELPHIA, PA 19145-4441
(215) 463-3349
(215) 463-0131
Mailing address
1514 WOLF ST, PHILADELPHIA, PA 19145-4441
(215) 463-3349
(215) 463-0131
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD010079E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006768340001
—
PA
Enumeration date
12/04/2006
Last updated
08/03/2011
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