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Contact Information

CLINICAL NEUROPHYSIOLOGY & EPILEPSY PC
725 RIVER RD
SUITE.106
EDGEWATER, NJ07020-1171
 Phone: 201-943-2273
 Fax: 201-215-9548
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for CLINICAL NEUROPHYSIOLOGY EPILEPSY PC · (Female)

NPI Number 1134179625
Status Active
Credentials
Entity Individual
Enumeration date 05/12/2006
Last updated 07/23/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MA08061700
  • NJ Medicaid 0148083
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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