East Bay Neurology Professional Corporation in Pawtucket - Neurology
East Bay Neurology Professional Corporation - NPI 1275668006
East Bay Neurology Professional Corporation is a Neurology in Pawtucket, Rhode Island. East Bay Neurology Professional Corporation practices all healthcare services and medical treatments related to Neurology. The NPI Number for East Bay Neurology Professional Corporation is 1275668006. The last update date is 2018-06-20.
East Bay Neurology Professional Corporation's current location address is 333 School St Ste 216, Pawtucket, Rhode Island. You can contact this provider via phone number 4017227300 and fax number 4017227390. The mailing address for East Bay Neurology Professional Corporation is 333 School St Ste 216, Pawtucket, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Bay Neurology Professional Corporation |
|---|---|
| Address | 333 School St Ste 216, Pawtucket, Rhode Island |
| Phone Number | 4017227300 |
| Fax Number | 4017227390 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Al Yacoub A Motasem |
| Credentials | MD |
| Telephone Number | 4017244100 |
NPI Number Detail
| NPI Number | 1275668006 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2018-06-20 |
Provider Mailing Address Detail
| Address | 333 School St Ste 216 |
|---|---|
| City | Pawtucket |
| State | Rhode Island (RI) |
| Post Code | 28605336 |
| Phone Number | 4017227300 |
| Fax Number | 4017227390 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 212368 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7006029 | RI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to East Bay Neurology Professional Corporation by the Centers for Medicare & Medicaid Services?
The East Bay Neurology Professional Corporation has been issued the NPI (National Provider Identifier) 1275668006. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of East Bay Neurology Professional Corporation?
The East Bay Neurology Professional Corporation is situated at 333 School St Ste 216, in the city of Pawtucket, state of RI, with the zip code 28605336.
What is East Bay Neurology Professional Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for East Bay Neurology Professional Corporation is Neurology, and the taxonomy classification code that categorizes this area of expertise is 2084N0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275668006 to East Bay Neurology Professional Corporation?
The Centers for Medicare & Medicaid Services originally issued the 1275668006 to East Bay Neurology Professional Corporation on 2007-02-22.
When was the information regarding East Bay Neurology Professional Corporation most recently updated?
The details pertaining to the East Bay Neurology Professional Corporation, including its address, specialty, and other relevant information, were last refreshed on 2018-06-20.