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NPI Code Detail

MEDICARE: NEUROLOGY AND NEUROSCIENCE ASSOCIATES INC

MEDICARE: NEUROLOGY AND NEUROSCIENCE 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
1207RS0012XSleep Medicine (Internal Medicine) Physician
22084N0400XNeurology 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

General Provider Information

NPI Number : 1689628349
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEUROLOGY AND NEUROSCIENCE ASSOCIATES INC
Provider Business Mailing Address
First Line : PO BOX 92168
Second Line :
City : CLEVELAND
State : OH
Zip : 44191-2168
Country : US
Telephone Number : 888-328-4472
Fax Number : 330-376-1599
Provider Business Practice Location Address
First Line : 2111 15TH ST NW
Second Line :
City : CANTON
State : OH
Zip : 44703-1704
Country : US
Telephone Number : 330-837-7552
Fax Number : 330-834-1128
Authorized Official
Title or Position : PRESIDENT
Name : LAWRENCE M SALTIS
Credential : MD
Telephone Number : 330-376-1902
Provider Enumeration Date : 05/19/2006
Last Update Date : 05/09/2008

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Directions to “NEUROLOGY AND NEUROSCIENCE ASSOCIATES INC ” Practice Location

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