Organization
NEUROLOGY ST FRANCIS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN A MORAN (PRACTICE COORDINATOR)
(609) 599-5792
Entity
Organization
Contact information
Practice address
601 HAMILTON AVE, NEUROLOGY ST FRANCIS MEDICAL CENTER, TRENTON, NJ 08629-1915
(609) 599-5792
(609) 599-6275
Mailing address
601 HAMILTON AVE, ST FRANCIS MEDICAL CENTER, TRENTON, NJ 08629-1915
(609) 599-5792
(609) 599-6275
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001538
—
NJ
01
—
0115331000
AMERIHEALTH
NJ
01
—
528973
BCBS PA
PA
01
—
CH1667
RR MEDICARE
—
Enumeration date
02/02/2007
Last updated
03/11/2008
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