Organization Name: | NEUROLOGIC ASSOCIATES PC |
NPI Number: | 1073570727 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM STOVER WIGGINS (PRESIDENT) |
Mailing Address: | 41 E Ashland St Doylestown |
State: | PA US |
Postal Code: | 189014628 |
Phone Number: | 2153484620 |
Fax Number: | 2153487240 |
NPI Enumeration Date: | 04/27/2006 |
NPI Last Update Date: | 04/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | MDO158W1E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |