is a Clinical Neurophysiology in Pittsburgh, Pennsylvania. practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for is 1023275039. The last update date is .
's current location address is 490 E North Ave Ste 500, Pittsburgh, Pennsylvania. You can contact this provider via phone number 4123598860 and fax number 4123598809. The mailing address for is 490 E North Ave Ste 500, Pittsburgh, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 490 E North Ave Ste 500, Pittsburgh, Pennsylvania |
| Phone Number | 4123598860 |
| Fax Number | 4123598809 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1023275039 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 490 E North Ave Ste 500 |
|---|---|
| City | Pittsburgh |
| State | Pennsylvania (PA) |
| Post Code | 152124765 |
| Phone Number | 4123598860 |
| Fax Number | 4123598809 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neurophysiology |
|---|---|
| Taxonomy | 2084N0600X |
| Licence No | MD431542 |
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Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 102159159 | PA | -- | |
| 11854476 | PA | CAQH |
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