Provider Demographics
NPI:1245391788
Name:NORTHAMPTON NEUROLOGY, P.C.
Entity Type:Organization
Organization Name:NORTHAMPTON NEUROLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA ROSELYN
Authorized Official - Middle Name:CUA
Authorized Official - Last Name:LIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-752-2200
Mailing Address - Street 1:PO BOX 909
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-0909
Mailing Address - Country:US
Mailing Address - Phone:215-752-2200
Mailing Address - Fax:215-396-3882
Practice Address - Street 1:240 MIDDLETOWN BLVD
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1816
Practice Address - Country:US
Practice Address - Phone:215-752-2200
Practice Address - Fax:215-396-3882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH56597Medicare UPIN
PA094735Medicare ID - Type Unspecified