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NEUROTECH INC NPI 1225172851


NPI Information

NPI: 1225172851
Provider Name: NEUROTECH INC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
125 PARKER HILL AVE
SUITE 300
BOSTON, MA
ZIP 02120
Phone: (617) 731-0016
Get Directions

NEUROTECH INC is a neurology psychiatry neurology in Boston, MA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NEUROTECH INC NPI is 1225172851. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

125 PARKER HILL AVE
SUITE 300
BOSTON, MA
ZIP 02120-847
Phone: (617) 731-0016
Fax: (617) 739-6866

The provider's authorized official is Deepak S Tandon .
The authorized official title is Owner and has the following contact phone number (617) 731-0016.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 4/24/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology46565MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1102375100OTHERMASSACHUSETTSUS DEPT OF LABOR
2C18116OTHERMASSACHUSETTSBCBS
3A53801MEDICARE UPINMASSACHUSETTS
4130002181OTHERMASSACHUSETTSTRAVELERS MEDICARE
5700883OTHERMASSACHUSETTSTUFTS
611151OTHERMASSACHUSETTSHPHC NUMBER
7VC6000170977OTHERMASSACHUSETTSCOMM OF MA
892688OTHERMASSACHUSETTSAETNA US HEALTHACRE
9CM3196OTHERMASSACHUSETTSRAILROAD MEDICARE
10M14268MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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