Neurology Specialists Of Morris County, Llc | |
101 Madison Avenue, Suite 304 Morristown NJ 07960 | |
(973) 292-0999 | |
(973) 292-0555 |
Full Name | Neurology Specialists Of Morris County, Llc |
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Speciality | Psychiatry & Neurology |
Location | 101 Madison Avenue, Suite 304, Morristown, New Jersey |
Authorized Official Name and Position | Tatyana Marx (OWNER) |
Authorized Official Contact | 9732920999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neurology Specialists Of Morris County, Llc 101 Madison Ave Ste 304 Morristown NJ 07960-7305 Ph: (973) 292-0999 | Neurology Specialists Of Morris County, Llc 101 Madison Avenue, Suite 304 Morristown NJ 07960 Ph: (973) 292-0999 |
NPI Number | 1538308739 |
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Provider Enumeration Date | 02/11/2009 |
Last Update Date | 02/11/2009 |
Medicare PECOS PAC ID | 8224192257 |
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Medicare Enrollment ID | O20090205000404 |
Identifier | Type | State | Issuer |
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1538308739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | 25MA08372500 (New Jersey) | Primary |
Provider Name | Tatyana Marx |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1164686960 PECOS PAC ID: 1153485172 Enrollment ID: I20090205000391 |
Provider Name | Irina Golovnitskiy Costa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952786246 PECOS PAC ID: 9032426192 Enrollment ID: I20150922001938 |
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