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Organization

UNIVERSITY NEUROLOGY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FERDINAND DATOR (BILLING MANAGER)
(401) 944-9559
Entity
Organization

Contact information

Practice address
725 RESERVOIR AVE, SUITE 308, CRANSTON, RI 02910-4448
(401) 944-9559
(401) 944-7501
Mailing address
725 RESERVOIR AVE, SUITE 308, CRANSTON, RI 02910-4448
(401) 944-9559
(401) 944-7501

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
06/28/2011
Last updated
06/28/2011
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