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NPI Code Detail

MEDICARE: SURGIMON, LLC

MEDICARE: SURGIMON, LLC
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
12084N0400XNeurology Physician

General Provider Information

NPI Number : 1699407742
Entity Type Code : Organization
Provider Name (Legal Business Name) : SURGIMON, LLC
Provider Business Mailing Address
First Line : PO BOX 5542
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-0542
Country : US
Telephone Number : 412-406-7692
Fax Number : 412-968-9113
Provider Business Practice Location Address
First Line : 206 S CORONADO AVE
Second Line :
City : ESPANOLA
State : NM
Zip : 87532-2792
Country : US
Telephone Number : 412-406-7692
Fax Number : 412-968-9113
Authorized Official
Title or Position : CEO
Name : MR. CHRISTOPHER ADAM SCHURMAN
Credential :
Telephone Number : 412-406-7692
Provider Enumeration Date : 06/28/2022
Last Update Date : 06/28/2022

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Directions to “SURGIMON, LLC ” Practice Location

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