MEDICARE: COMMUNITY NEUROLOGICAL SERVICES, P.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	MD030145	PA
2	2084N0400X	Neurology Physician	MD010	PA

General Provider Information

NPI Number	:	1134161755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY NEUROLOGICAL SERVICES, P.S.

Provider Business Mailing Address
First Line	:	1331 E WYOMING AVE
Second Line	:	SUITE 1100
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-3808
Country	:	US
Telephone Number	:	215-744-4030
Fax Number	:	215-744-4582

Provider Business Practice Location Address
First Line	:	1331 E WYOMING AVE
Second Line	:	SUITE 1100
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-3808
Country	:	US
Telephone Number	:	215-744-4030
Fax Number	:	215-744-4582

Authorized Official
Title or Position	:	MANAGER
Name	:	DAVID TABBY
Credential	:	D.O.
Telephone Number	:	215-744-4030

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	09/11/2025

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