Healthcare Provider Details

I. General information

NPI: 1336189901
Provider Name (Legal Business Name): NEURO CARE ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 INDUSTRIAL BLVD SUITE 205
PAOLI PA
19301
US

IV. Provider business mailing address

PO BOX 449
PAOLI PA
19301
US

V. Phone/Fax

Practice location:
  • Phone: 610-647-8000
  • Fax:
Mailing address:
  • Phone: 610-647-8000
  • Fax: 610-647-6394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: PHILIP A ADELMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 610-647-8000