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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

NPI Number 1780722314
LBN Legal business name NEUROLOGY CONSULTANTS OF SOUTH JERSEY, LLC
Authorized official IMAN YOUSSEF - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/04/2007
Last updated 08/10/2007 - About 19 years ago
Identifiers
NJ License # 25MA07153100
NJ Medicaid 8649308
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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