Provider Demographics
NPI:1689869372
Name:ABINGTON PEDIATRIC NEUROLOGY CONSULTANTS,PC
Entity Type:Organization
Organization Name:ABINGTON PEDIATRIC NEUROLOGY CONSULTANTS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:KOLLROS
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:215-886-9855
Mailing Address - Street 1:1917 GUERNSEY AVE
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3701
Mailing Address - Country:US
Mailing Address - Phone:215-886-9855
Mailing Address - Fax:215-886-9853
Practice Address - Street 1:1917 GUERNSEY AVE
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3701
Practice Address - Country:US
Practice Address - Phone:215-886-9855
Practice Address - Fax:215-886-9853
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 Licenses
StateLicense IDTaxonomies
PAMD041495E2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyGroup - Single Specialty