| Medcom Neurological Services, Llc | |
|
310 Chris Gaupp Dr Suite 101 Galloway NJ 08205-4461 | |
| (609) 909-5355 | |
| (609) 909-5357 |
| Full Name | Medcom Neurological Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 310 Chris Gaupp Dr, Galloway, New Jersey |
| Authorized Official Name and Position | Ilyas A Rajput (PRESIDENT) |
| Authorized Official Contact | 6096464064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcom Neurological Services, Llc 258 N New Rd Pleasantville NJ 08232-2170 Ph: (609) 646-4064 | Medcom Neurological Services, Llc 310 Chris Gaupp Dr Suite 101 Galloway NJ 08205-4461 Ph: (609) 909-5355 |
| NPI Number | 1245262385 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 01/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245262385 | NPI | - | NPPES |
| 0088072 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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