Organization
ADULT NEUROLOGY CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE MICHAEL COTUGNO M.D. (PRESIDENT)
(724) 229-6198
Entity
Organization
Contact information
Practice address
1025 JEFFERSON AVE, WASHINGTON, PA 15301-2119
(724) 229-6195
(724) 229-6199
Mailing address
1025 JEFFERSON AVE, WASHINGTON, PA 15301-2119
(724) 229-6195
(724) 229-6199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD049746L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018725540002
—
PA
Enumeration date
11/08/2006
Last updated
03/16/2020
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