Provider Demographics
NPI:1922083138
Name:NEUROSURGERY ASSOCIATES INC
Entity Type:Organization
Organization Name:NEUROSURGERY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:CLAYTON
Authorized Official - Last Name:SARIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-453-3545
Mailing Address - Street 1:3 DAVOL SQ
Mailing Address - Street 2:SUITE B200
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4710
Mailing Address - Country:US
Mailing Address - Phone:401-453-3545
Mailing Address - Fax:401-453-3533
Practice Address - Street 1:3 DAVOL SQ
Practice Address - Street 2:SUITE B200
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4710
Practice Address - Country:US
Practice Address - Phone:401-453-3545
Practice Address - Fax:401-453-3533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty