Provider Demographics
NPI:1881656379
Name:NEUROLOGY AND SLEEP MEDICINE, P.C
Entity Type:Organization
Organization Name:NEUROLOGY AND SLEEP MEDICINE, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:D
Authorized Official - Last Name:GOULD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-866-6614
Mailing Address - Street 1:510 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1280
Mailing Address - Country:US
Mailing Address - Phone:610-866-6614
Mailing Address - Fax:610-866-8836
Practice Address - Street 1:510 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1155
Practice Address - Country:US
Practice Address - Phone:610-866-6614
Practice Address - Fax:610-866-8836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-03
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02349000OtherBLUE CROSS
PA7230301OtherAETNA
PA1615283OtherBLUE SHIELD
PADC0716OtherRR MEDICARE
PADC0716OtherRR MEDICARE