| Advanced Neurology Center Llc | |
|
676 Routes 202 206 N Bldg 2, Suite 1ne Bridgewater NJ 08807 | |
| (908) 218-1180 | |
| (908) 218-1718 |
| Full Name | Advanced Neurology Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 676 Routes 202 206 N, Bridgewater, New Jersey |
| Authorized Official Name and Position | Srinivasa Potluri (PHYSICIAN) |
| Authorized Official Contact | 9082181180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Neurology Center Llc Po Box 1075 Somerville NJ 08876-1075 Ph: (908) 218-1180 | Advanced Neurology Center Llc 676 Routes 202 206 N Bldg 2, Suite 1ne Bridgewater NJ 08807 Ph: (908) 218-1180 |
| NPI Number | 1760490148 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760490148 | NPI | - | NPPES |
| 2229034000 | Other | KEYSTONE | |
| 1545098 | Other | AMERIHEALTH | |
| 2K4368 | Other | HEALTHNET | |
| P2486490 | Other | OXFORD | |
| 8686301 | Medicaid | NJ | |
| 60008696 | Other | HORIZON NJ HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MA07137500 (New Jersey) | Primary |
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