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NORTHEAST NEUROLOGY SVC PLLC NPI 1619188828


NPI Information

NPI: 1619188828
Provider Name: NORTHEAST NEUROLOGY SVC PLLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
595 DORSET ST
SUITE # 8
SOUTH BURLINGTON, VT
ZIP 05403
Phone: (802) 864-6669
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NORTHEAST NEUROLOGY SVC PLLC is a neurology psychiatry neurology in South Burlington, VT. 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. NORTHEAST NEUROLOGY SVC PLLC NPI is 1619188828. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

595 DORSET ST
SUITE # 8
SOUTH BURLINGTON, VT
ZIP 05403-240
Phone: (802) 864-6669
Fax: (802) 864-6633

The provider's authorized official is Rizwan Ul Haq .
The authorized official title is Member and has the following contact phone number (802) 864-6669.

The enumeration date for this NPI number is 5/28/2007 and was last updated on 5/10/2008.


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 & NeurologyNeurologyYes

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
10002627MEDICARE PINVERMONT
20VN1856MEDICAIDVERMONT

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: 11/14/2023

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