| Center For Neurologic Specialty | |
|
12000 Lincoln Dr W Suite 204 Marlton NJ 08053-3402 | |
| (856) 988-3444 | |
| (856) 988-0553 |
| Full Name | Center For Neurologic Specialty |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 12000 Lincoln Dr W, Marlton, New Jersey |
| Authorized Official Name and Position | Ricardo Y Mabanta (PARTNER) |
| Authorized Official Contact | 8569883444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Neurologic Specialty 53 Normandy Rd Marlton NJ 08053-5527 Ph: (856) 988-3444 | Center For Neurologic Specialty 12000 Lincoln Dr W Suite 204 Marlton NJ 08053-3402 Ph: (856) 988-3444 |
| NPI Number | 1972782704 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 02/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972782704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MA59597 (New Jersey) | Primary |
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