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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, P.C.

NPI # 1306875299
LBN Legal business name NEUROLOGIC DIAGNOSTICS, P.C.
Authorized official DEBRA QUINLAN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/02/2006
Last updated 03/02/2016 - About 10 years ago
Identifiers
PA License # MD066714L
PA Medicaid 0018063160002
PA Other 2257478 AETNA
PA Other 208576 HIGHMARK BLUE SHIELD
PA Other 0737358000 INDEPENDENCE BLUE CROSS
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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