Provider Demographics
NPI:1457319311
Name:GEARY NEUROLOGIC ASSOCIATES PC
Entity Type:Organization
Organization Name:GEARY NEUROLOGIC ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:GEARY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-705-3800
Mailing Address - Street 1:1569 MEDICAL DRIVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464
Mailing Address - Country:US
Mailing Address - Phone:610-705-3800
Mailing Address - Fax:610-705-0322
Practice Address - Street 1:1569 MEDICAL DRIVE
Practice Address - Street 2:SUITE 104
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464
Practice Address - Country:US
Practice Address - Phone:610-705-3800
Practice Address - Fax:610-705-0322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
062954Medicare ID - Type Unspecified
H22421Medicare UPIN