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Contact Information

NEUROLOGY CONSULTANTS OF SOUTH JERSEY, LLC
76 W JIMMIE LEEDS RD
SUITE 503
GALLOWAY, NJ08205-9411
 Phone: 609-748-7820
 Fax: 609-748-7825
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for NEUROLOGY CONSULTANTS OF SOUTH JERSEY LLC · (Female)

NPI Number 1780722314
Status Active
Credentials
Entity Individual
Enumeration date 02/04/2007
Last updated 08/10/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MA07153100
  • NJ Medicaid 8649308
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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