Organization
NEW CASTLE NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMACHANDRA R TATA M.D. (OWNER)
(724) 657-3232
Entity
Organization
Contact information
Practice address
2602 WILMINGTON RD, SUITE 103, NEW CASTLE, PA 16105-1537
(724) 657-3232
Mailing address
2602 WILMINGTON RD, SUITE 103, NEW CASTLE, PA 16105-1537
(724) 657-3232
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD053340-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016988180003
—
PA
01
—
1377650
BCBS PA
PA
Enumeration date
03/26/2007
Last updated
02/25/2008
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