Provider Demographics
NPI:1083187959
Name:KURLAN SPECIALIZED NEUROLOGY, LLC
Entity Type:Organization
Organization Name:KURLAN SPECIALIZED NEUROLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:KURLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-525-5119
Mailing Address - Street 1:195 MOUNTAIN AVENUE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081
Mailing Address - Country:US
Mailing Address - Phone:973-850-4622
Mailing Address - Fax:973-850-4621
Practice Address - Street 1:195 MOUNTAIN AVENUE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081
Practice Address - Country:US
Practice Address - Phone:973-850-4622
Practice Address - Fax:973-850-4621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty