Provider Demographics
NPI:1235609959
Name:LOWER MERION NEUROLOGY, PC
Entity Type:Organization
Organization Name:LOWER MERION NEUROLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SUDHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:AGGARWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:484-413-2572
Mailing Address - Street 1:250 W LANCASTER AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1774
Mailing Address - Country:US
Mailing Address - Phone:484-413-2572
Mailing Address - Fax:484-413-2611
Practice Address - Street 1:250 W LANCASTER AVE STE 250
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1774
Practice Address - Country:US
Practice Address - Phone:484-413-2572
Practice Address - Fax:484-413-2611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-26
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty