| Signature Neurology Llc | |
|
47 Cambridge Rd Haverford PA 19041-1006 | |
| (610) 761-7438 | |
| (610) 744-2420 |
| Full Name | Signature Neurology Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 47 Cambridge Rd, Haverford, Pennsylvania |
| Authorized Official Name and Position | Hari Sudan (BILLING MANAGER) |
| Authorized Official Contact | 8663643282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Neurology Llc 47 Cambridge Rd Haverford PA 19041-1006 Ph: (610) 761-7438 | Signature Neurology Llc 47 Cambridge Rd Haverford PA 19041-1006 Ph: (610) 761-7438 |
| NPI Number | 1558773929 |
|---|---|
| Provider Enumeration Date | 05/20/2014 |
| Last Update Date | 05/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558773929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | MD-042757-L (Pennsylvania) | Primary |
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