| Neuro Source Diagnostics, Inc | |
|
9276 Jamison Ave Unit A Philadelphia PA 19115-4281 | |
| (215) 460-7475 | |
| (215) 677-2073 |
| Full Name | Neuro Source Diagnostics, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 9276 Jamison Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Ryan Rossien (OWNER) |
| Authorized Official Contact | 2154607475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro Source Diagnostics, Inc 9276 Jamison Ave Unit A Philadelphia PA 19115-4281 Ph: (215) 460-7475 | Neuro Source Diagnostics, Inc 9276 Jamison Ave Unit A Philadelphia PA 19115-4281 Ph: (215) 460-7475 |
| NPI Number | 1083031496 |
|---|---|
| Provider Enumeration Date | 03/24/2014 |
| Last Update Date | 03/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083031496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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