Organization
NEUROSURGERY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA ELLEN MAHER (BILLING MANAGER)
(302) 428-0314
Entity
Organization
Contact information
Practice address
111 W HIGH ST, SUITE 211, ELKTON, MD 21921-5529
(302) 571-9750
(302) 571-0620
Mailing address
1306 N BROOM ST, WILMINGTON, DE 19806-4209
(302) 571-9750
(302) 571-0620
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073611968
NPI-PAWAN RASTOGI, MD
DE
01
—
1164520037
NPI-MAGDY I. BOULOS, MD
DE
01
—
1447358338
NPI
DE
01
—
1902906860
NPI-TERESA KITKO, PA-C
DE
01
—
1922109206
NPI-COLLEEN DAVIS, PA-C
DE
01
—
1942383153
NPI
MD
01
—
DA6621
RAILROAD MEDICARE
DE
Enumeration date
10/23/2006
Last updated
08/06/2008
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