| Northeast Neurology Svc Pllc | |
|
595 Dorset St Suite # 8 South Burlington VT 05403-6240 | |
| (802) 864-6669 | |
| (802) 864-6633 |
| Full Name | Northeast Neurology Svc Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 595 Dorset St, South Burlington, Vermont |
| Authorized Official Name and Position | Rizwan Ul Haq (MEMBER) |
| Authorized Official Contact | 8028646669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Neurology Svc Pllc Po Box 8407 Essex VT 05451-8407 Ph: (802) 864-6669 | Northeast Neurology Svc Pllc 595 Dorset St Suite # 8 South Burlington VT 05403-6240 Ph: (802) 864-6669 |
| NPI Number | 1619188828 |
|---|---|
| Provider Enumeration Date | 05/28/2007 |
| Last Update Date | 05/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619188828 | NPI | - | NPPES |
| 0VN1856 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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