Organization
RAOUL G BINIAURISHVILI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAOUL G BINIAURISHVILI MD PHD (CEO)
(215) 464-7820
Entity
Organization
Contact information
Practice address
11685-C BUSTLETON AVE, HENDRIX CENTER, PHILADELPHIA, PA 19116-2542
(215) 464-7820
(215) 464-7808
Mailing address
170 CHRISTOPHER DR, PRINCETON, NJ 08540-2322
(609) 497-7576
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD048245L
PA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
MD048245L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014094500003
—
PA
Enumeration date
05/21/2008
Last updated
05/21/2008
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