| Neurology And Sleep Medicine, P.c | |
|
510 Delaware Ave Fountain Hill PA 18015-1155 | |
| (610) 866-6614 | |
| (610) 866-8836 |
| Full Name | Neurology And Sleep Medicine, P.c |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 510 Delaware Ave, Fountain Hill, Pennsylvania |
| Authorized Official Name and Position | Jeffrey D Gould (PRESIDENT) |
| Authorized Official Contact | 6108666614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology And Sleep Medicine, P.c 510 Delaware Ave Fountain Hill PA 18015-1280 Ph: (610) 866-6614 | Neurology And Sleep Medicine, P.c 510 Delaware Ave Fountain Hill PA 18015-1155 Ph: (610) 866-6614 |
| NPI Number | 1881656379 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 07/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881656379 | NPI | - | NPPES |
| 02349000 | Other | PA | BLUE CROSS |
| 7230301 | Other | PA | AETNA |
| 1615283 | Other | PA | BLUE SHIELD |
| DC0716 | Other | PA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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