Provider Demographics
NPI:1386847275
Name:NEUROLOGY CONSULTANTS, PC
Entity Type:Organization
Organization Name:NEUROLOGY CONSULTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-335-3900
Mailing Address - Street 1:90 LIBBEY INDUSTRIAL PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-3129
Mailing Address - Country:US
Mailing Address - Phone:781-335-3900
Mailing Address - Fax:781-337-9424
Practice Address - Street 1:90 LIBBEY INDUSTRIAL PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189-3129
Practice Address - Country:US
Practice Address - Phone:781-335-3900
Practice Address - Fax:781-337-9424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM14809Medicare ID - Type Unspecified