Organization
GNI NEUROSERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD J. DAMICO (VICE PRESIDENT, ADMINISTRATION)
(215) 962-9600
Entity
Organization
Contact information
Practice address
3100 PRINCETON PIKE BLDG 3, SUITE D, LAWRENCEVILLE, NJ 08648-2300
(844) 464-6387
(215) 239-3037
Mailing address
1 MEDICAL CENTER BLVD STE 232, CHESTER, PA 19013-3902
(844) 464-6387
(215) 239-3037
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0467669
—
NJ
05
—
103013426
—
PA
01
—
DV8143
NJ RAILROAD MEDICARE
NJ
01
—
DV8240
PA RAILROAD MEDICARE
PA
Enumeration date
10/03/2014
Last updated
03/17/2018
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