Antietam Neurology Center, Pa

NPI 1093860553 - Specialist - 174400000X

NPI Details
NPI 1093860553
Enumeration Date 01/24/2007
Last Updated 04/27/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MEHRULLAH MEHRULLAH
Position PRESIDENT
Phone (301) 797-1900
Fax (301) 797-2238
Practice Location
11110 MEDICAL CAMPUS RD STE 227
HAGERSTOWN MD, 21742-6727, US
Phone (301) 797-1900
Fax (301) 797-2238
Business Location
11110 MEDICAL CAMPUS RD STE 227
HAGERSTOWN MD, 21742-6727, US
Phone (301) 797-1900
Fax (301) 797-2238
Toxanomy
Taxonomy Code 174400000X
License State Maryland
License Number D0022136
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According to our database, Antietam Neurology Center, Pa NPI is 1093860553, taxonomy code is 174400000X and license number is D0022136, license state is located at Maryland. Antietam Neurology Center, Pa physically located at 11110 Medical Campus Rd Ste 227, Hagerstown MD, 21742-6727. NPI Number 1033115704 has the healthcare provider type.

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1093860553 NPI number is provided on an as is basis without warranty of any kind. 1093860553 is maintained by the National Plan & Provider Enumeration System. The contents of Antietam Neurology Center, Pa are for informational purposes only.