MEDICARE: ABINGTON NEUROLOGICAL ASSOCIATES LTD

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	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1154432227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABINGTON NEUROLOGICAL ASSOCIATES LTD

Provider Business Mailing Address
First Line	:	2325 MARYLAND RD
Second Line	:	SUITE 120
City	:	WILLOW GROVE
State	:	PA
Zip	:	19090-1749
Country	:	US
Telephone Number	:	215-957-9250
Fax Number	:	215-957-9254

Provider Business Practice Location Address
First Line	:	2325 MARYLAND RD
Second Line	:	SUITE 120
City	:	WILLOW GROVE
State	:	PA
Zip	:	19090-1749
Country	:	US
Telephone Number	:	215-957-9250
Fax Number	:	215-957-9254

Authorized Official
Title or Position	:	TREASURER
Name	:	BRAD C KLEIN
Credential	:	M.D.
Telephone Number	:	215-957-9250

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	02/23/2017

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