Provider Demographics
NPI:1558556282
Name:INTEGRATED CENTER FOR NEUROPATHY
Entity Type:Organization
Organization Name:INTEGRATED CENTER FOR NEUROPATHY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:ZINGERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-742-3231
Mailing Address - Street 1:8355 LORETTO AVE
Mailing Address - Street 2:SUITE 102A
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-1830
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8355 LORETTO AVE
Practice Address - Street 2:SUITE 102A
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-1830
Practice Address - Country:US
Practice Address - Phone:215-742-3231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty