Provider Demographics
NPI:1609297738
Name:WAYNE NEUROLOGICAL ASSOCIATES,LLC
Entity Type:Organization
Organization Name:WAYNE NEUROLOGICAL ASSOCIATES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EYAD
Authorized Official - Middle Name:
Authorized Official - Last Name:NAYAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-942-3300
Mailing Address - Street 1:401 HAMBURG TPKE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2154
Mailing Address - Country:US
Mailing Address - Phone:973-942-3300
Mailing Address - Fax:973-942-0014
Practice Address - Street 1:401 HAMBURG TPKE
Practice Address - Street 2:SUITE 208
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2154
Practice Address - Country:US
Practice Address - Phone:973-942-3300
Practice Address - Fax:973-942-0014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-16
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty