Provider Demographics
NPI:1932811742
Name:MERRIMACK VALLEY NEUROLOGY-LOWELL
Entity Type:Organization
Organization Name:MERRIMACK VALLEY NEUROLOGY-LOWELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:VLADAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MILOSAVLJEVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-861-0404
Mailing Address - Street 1:200 SUTTON ST STE 140
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-1651
Mailing Address - Country:US
Mailing Address - Phone:781-698-7046
Mailing Address - Fax:
Practice Address - Street 1:200 SUTTON ST STE 140
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-1651
Practice Address - Country:US
Practice Address - Phone:781-698-7046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-23
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty