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Contact Information

NEUROLOGIC DIAGNOSTICS, P.C.
333 NORTH OXFORD VALLEY ROAD
SUITE 503
FAIRLESS HILLS, PA19030
 Phone: 215-949-7925
 Fax: 215-943-1304
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for NEUROLOGIC DIAGNOSTICS PC · (Female)

NPI # 1306875299
Status Active
Credentials
Entity Individual
Enumeration date 07/02/2006
Last updated 03/02/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # MD066714L
  • PA Medicaid 0018063160002
  • PA Other 2257478 AETNA
  • PA Other 208576 HIGHMARK BLUE SHIELD
  • PA Other 0737358000 INDEPENDENCE BLUE CROSS
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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