MEDICARE: DR. NEAL SAMUEL NEUMAN D.M.D.

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	1223G0001X	General Practice Dentistry	DS-026254-L	PA

General Provider Information

NPI Number	:	1336144765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEAL SAMUEL NEUMAN D.M.D.

Provider Business Mailing Address
First Line	:	1100 W VALLEY RD
Second Line	:	STE 3
City	:	WAYNE
State	:	PA
Zip	:	19087-1447
Country	:	US
Telephone Number	:	610-688-2266
Fax Number	:	610-688-8226

Provider Business Practice Location Address
First Line	:	1100 W VALLEY RD
Second Line	:	STE 3
City	:	WAYNE
State	:	PA
Zip	:	19087-1447
Country	:	US
Telephone Number	:	610-688-2266
Fax Number	:	610-688-8226

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	02/26/2008

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