Organization Name: | PENN NEUROLOGY AND PSYCHIATRY ASSOCIATES, PC |
NPI Number: | 1629174842 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IQBAL KHAN (PRESIDENT) |
Mailing Address: | 340 Montage Mountain Rd Suite D Moosic |
State: | PA US |
Postal Code: | 185071782 |
Phone Number: | 5709099411 |
Fax Number: | 8662596004 |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 06/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD065153L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |