Organization
NEUROLOGY AND SLEEP MEDICINE, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY D GOULD MD (PRESIDENT)
(610) 866-6614
Entity
Organization
Contact information
Practice address
510 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1155
(610) 866-6614
(610) 866-8836
Mailing address
510 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1280
(610) 866-6614
(610) 866-8836
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02349000
BLUE CROSS
PA
01
—
1615283
BLUE SHIELD
PA
01
—
7230301
AETNA
PA
01
—
DC0716
RR MEDICARE
PA
Enumeration date
04/03/2006
Last updated
07/27/2012
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