MEDICARE: NEUROLOGIC AND HEADACHE ASSOCIATES, P.C.

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	174400000X	Specialist	OS004200L	PA
2	174400000X	Specialist	OS008836L	PA

General Provider Information

NPI Number	:	1467514414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROLOGIC AND HEADACHE ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	3070 BRISTOL PIKE
Second Line	:	STE 124
City	:	BENSALEM
State	:	PA
Zip	:	19020-5364
Country	:	US
Telephone Number	:	215-245-0272
Fax Number	:	215-244-1005

Provider Business Practice Location Address
First Line	:	3070 BRISTOL PIKE
Second Line	:	STE 124
City	:	BENSALEM
State	:	PA
Zip	:	19020-5364
Country	:	US
Telephone Number	:	215-245-0272
Fax Number	:	215-244-1005

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LOUIS S PEARLSTEIN
Credential	:	D.O.
Telephone Number	:	215-245-0272

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	08/22/2020

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