Provider Demographics
NPI:1598356933
Name:MERRIMACK VALLEY NEUROLOGY LLC
Entity Type:Organization
Organization Name:MERRIMACK VALLEY NEUROLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VLADAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MILOSAVLJEVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-687-2321
Mailing Address - Street 1:200 SUTTON ST STE 140
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-1651
Mailing Address - Country:US
Mailing Address - Phone:978-620-8444
Mailing Address - Fax:
Practice Address - Street 1:200 SUTTON ST STE 140
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-1651
Practice Address - Country:US
Practice Address - Phone:978-620-8444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty