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NPI Code Detail

MEDICARE: ADVANCED NEUROLOGY ASSOCIATES INC

MEDICARE: ADVANCED NEUROLOGY ASSOCIATES INC
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
1204D00000XNeuromusculoskeletal Medicine & OMM Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093729774
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED NEUROLOGY ASSOCIATES INC
Provider Business Mailing Address
First Line : 1340 BELMONT AVE
Second Line : SUITE 2200
City : YOUNGSTOWN
State : OH
Zip : 44504-1125
Country : US
Telephone Number : 330-746-7400
Fax Number : 330-746-7436
Provider Business Practice Location Address
First Line : 1340 BELMONT AVE
Second Line : SUITE 2200
City : YOUNGSTOWN
State : OH
Zip : 44504-1125
Country : US
Telephone Number : 330-746-7400
Fax Number : 330-746-7436
Authorized Official
Title or Position : PRESIDENT
Name : DONALD J TAMULONIS JR.
Credential : MD
Telephone Number : 330-746-7400
Provider Enumeration Date : 07/28/2006
Last Update Date : 03/18/2011

Similar Medicare Providers

1073511531 — DONALD JOSEPH TAMULONIS JR. MD
Practice Location Address:
1340 BELMONT AVE , SUITE 2200
YOUNGSTOWN, OH
44504-1125
Practice Phone: 330-746-7400
Practice Fax: 330-746-7436
1780655589 — ANUP S BAINS M.D.
Practice Location Address:
1340 BELMONT AVE , SUITE 2300
YOUNGSTOWN, OH
44504-1125
Practice Phone: 330-746-1488
Practice Fax: 330-746-0384
1174594915 — SHERIF A SOLIMAN M.D.
Practice Location Address:
1340 BELMONT AVE , SUITE 2300
YOUNGSTOWN, OH
44504-1125
Practice Phone: 330-746-1488
Practice Fax: 330-746-5611
1417928201 — AUGUSTINE P BISCARDI D.O.
Practice Location Address:
1340 BELMONT AVE , SUITE 2300
YOUNGSTOWN, OH
44504-1125
Practice Phone: 330-746-1488
Practice Fax: 330-746-5611
1275504094 — NATHANIEL S DOE M.D.
Practice Location Address:
1340 BELMONT AVE , SUITE 2300
YOUNGSTOWN, OH
44504-1125
Practice Phone: 330-746-1488
Practice Fax: 330-746-5611
1104897941 — LEONIDAS G VASSILAROS M.D.
Practice Location Address:
1340 BELMONT AVE , SUITE 2300
YOUNGSTOWN, OH
44504-1125
Practice Phone: 330-746-1488
Practice Fax: 330-746-5611

Directions to “ADVANCED NEUROLOGY ASSOCIATES INC ” Practice Location

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