Honesdale Neurology | |
600 Maple Ave Suite 1 Honesdale PA 18431-1459 | |
(570) 253-8635 | |
Not Available |
Full Name | Honesdale Neurology |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 600 Maple Ave, Honesdale, Pennsylvania |
Authorized Official Name and Position | Frederick Jackson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5702538450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Honesdale Neurology 601 Park St Honesdale PA 18431-1445 Ph: (570) 253-8635 | Honesdale Neurology 600 Maple Ave Suite 1 Honesdale PA 18431-1459 Ph: (570) 253-8635 |
NPI Number | 1073960563 |
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Provider Enumeration Date | 05/16/2016 |
Last Update Date | 05/16/2016 |
Identifier | Type | State | Issuer |
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1073960563 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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