Provider Demographics
NPI:1407152960
Name:NEUROTEC NEUROLOGY ASSOCIATES, PA
Entity type:Organization
Organization Name:NEUROTEC NEUROLOGY ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:J
Authorized Official - Last Name:TINKELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-451-0126
Mailing Address - Street 1:55 MADISON AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7337
Mailing Address - Country:US
Mailing Address - Phone:973-451-0126
Mailing Address - Fax:973-451-0127
Practice Address - Street 1:55 MADISON AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7337
Practice Address - Country:US
Practice Address - Phone:973-451-0126
Practice Address - Fax:973-451-0127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty