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NPI Code Detail

MEDICARE: NEURO MEDIC

MEDICARE: NEURO MEDIC
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
1207T00000XNeurological Surgery Physician

General Provider Information

NPI Number : 1447552799
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEURO MEDIC
Provider Business Mailing Address
First Line : 7 SAINT PAUL ST
Second Line : STE 1660
City : BALTIMORE
State : MD
Zip : 21202-1626
Country : US
Telephone Number : 484-614-5576
Fax Number : 610-903-4281
Provider Business Practice Location Address
First Line : 7 SAINT PAUL ST
Second Line : STE 1660
City : BALTIMORE
State : MD
Zip : 21202-1626
Country : US
Telephone Number : 484-614-5576
Fax Number : 610-903-4281
Authorized Official
Title or Position : PRESIDENT
Name : JOHN MONTGOMERY
Credential :
Telephone Number : 484-614-5576
Provider Enumeration Date : 11/18/2010
Last Update Date : 08/13/2012

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Directions to “NEURO MEDIC ” Practice Location

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