| Neurology Center Of Philadelphia Inc. | |
|
9922 Roosevelt Blvd Philadelphia PA 19115-1705 | |
| (215) 870-2551 | |
| Not Available |
| Full Name | Neurology Center Of Philadelphia Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 9922 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Mikhail Shamayev (PRESIDENT) |
| Authorized Official Contact | 2158702551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Center Of Philadelphia Inc. 9922 Roosevelt Blvd Philadelphia PA 19115-1705 Ph: (215) 870-2551 | Neurology Center Of Philadelphia Inc. 9922 Roosevelt Blvd Philadelphia PA 19115-1705 Ph: (215) 870-2551 |
| NPI Number | 1164727277 |
|---|---|
| Provider Enumeration Date | 01/20/2011 |
| Last Update Date | 02/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164727277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD432308 (Pennsylvania) | Primary |
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