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UNIVERSITY NEUROSURGICAL PC NPI 1942254511


NPI Information

NPI: 1942254511
Provider Name: UNIVERSITY NEUROSURGICAL, PC
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization
Address:
2630 HOLME AVE
SUITE 103
PHILADELPHIA, PA
ZIP 19152
Phone: (215) 331-0126
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UNIVERSITY NEUROSURGICAL, PC is a neuromusculoskeletal medicine sports medicine in Philadelphia, PA. The provider is definition to come. UNIVERSITY NEUROSURGICAL, PC NPI is 1942254511. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2630 HOLME AVE
SUITE 103
PHILADELPHIA, PA
ZIP 19152-009
Phone: (215) 331-0126
Fax: (215) 331-0520

The provider's authorized official is Saeid Alemo .
The authorized official title is President and has the following contact phone number (215) 331-0126.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 8/22/2020.


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
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineMD037547LPENNSYLVANIAYes

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
10092191204OTHERPENNSYLVANIAAMERICHOICE
200530OTHERPENNSYLVANIAHEALTH PARTNERS
330039OTHERPENNSYLVANIAAETNA
40010204560002MEDICAIDPENNSYLVANIA
530830OTHERPENNSYLVANIAKEYSTONE MERCY
62362350000OTHERPENNSYLVANIAKEYSTONE EAST

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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