| Stoneheart Neurology Consultants | |
|
5735 Ridge Ave Ste 101 Philadelphia PA 19128 | |
| (215) 310-8087 | |
| (215) 940-9690 |
| Full Name | Stoneheart Neurology Consultants |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 5735 Ridge Ave Ste 101, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Sonia Anand-nichols (OWNER) |
| Authorized Official Contact | 2153108087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stoneheart Neurology Consultants 5735 Ridge Ave Ste 101 Philadelphia PA 19128-1746 Ph: (215) 310-8087 | Stoneheart Neurology Consultants 5735 Ridge Ave Ste 101 Philadelphia PA 19128 Ph: (215) 310-8087 |
| NPI Number | 1417446998 |
|---|---|
| Provider Enumeration Date | 05/09/2018 |
| Last Update Date | 05/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417446998 | NPI | - | NPPES |
| 0390593 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD446569 (Pennsylvania) | Primary |
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