| Neurology Associates Of The Main Line | |
|
1413 W Moyamensing Ave Fl 1 Philadelphia PA 19145-4625 | |
| (267) 639-2555 | |
| (215) 613-5631 |
| Full Name | Neurology Associates Of The Main Line |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1413 W Moyamensing Ave Fl 1, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Debra Terrell (BILLING SPECIALIST) |
| Authorized Official Contact | 2676392555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Associates Of The Main Line 2417 Welsh Rd Ste 220 Philadelphia PA 19114-2214 Ph: (267) 639-2555 | Neurology Associates Of The Main Line 1413 W Moyamensing Ave Fl 1 Philadelphia PA 19145-4625 Ph: (267) 639-2555 |
| NPI Number | 1609333145 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 02/20/2019 |
| Medicare PECOS PAC ID | 2567880735 |
|---|---|
| Medicare Enrollment ID | O20200921001312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609333145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Adam J Weinstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831216043 PECOS PAC ID: 4486708054 Enrollment ID: I20090817000227 |
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