Provider Demographics
NPI:1639194277
Name:ADVANCED NEUROLOGIC CARE ASSOCIATES, PC
Entity Type:Organization
Organization Name:ADVANCED NEUROLOGIC CARE ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCCARREN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-566-6608
Mailing Address - Street 1:1000 WHITE HORSE RD STE 102
Mailing Address - Street 2:GLENDALE EXECUTIVE CAMPUS
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4407
Mailing Address - Country:US
Mailing Address - Phone:856-566-6608
Mailing Address - Fax:856-566-6689
Practice Address - Street 1:1000 WHITE HORSE RD STE 102
Practice Address - Street 2:GLENDALE EXECUTIVE CAMPUS
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4407
Practice Address - Country:US
Practice Address - Phone:856-566-6608
Practice Address - Fax:856-566-6689
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED NEUROLOGIC CARE ASSOCIATES,PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-13
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty