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General NPI Number Information
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NPI Number | 1841486511
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Entity Type | Organization
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Legal Business Name | SUMMIT NEUROLOGY CONSULTING, PC
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 507 WESTFIELD AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-3300
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Country | US
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Telephone | 908-232-2212
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Fax | 908-232-2247
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Provider Business Mailing Address
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Address Line | 507 WESTFIELD AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-3300
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Country | US
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Telephone | 908-232-2212
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Fax | 908-232-2247
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIA E ALEXIANU
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Credential | MD, PHD
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Telephone | 908-273-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 25MA07929100
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License Number State | NJ
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