Organization · NPI-2
5d Neurology INC
Neurological Surgery · Leominster, MA
NPI number1720496102
StatusActive
Last updated in NPPESJul 29, 2014
Details
- NPI
- 1720496102
- Entity type
- Organization (NPI-2)
- Legal business name
- 5d Neurology INC
- Organization subpart
- No
- Enumeration date
- Jul 29, 2014
- Last updated
- Jul 29, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | – | – | Yes |
Practice location
54 Williams StLeominster, MA 01453-3276
Phone 877-558-8778 · Fax 610-903-4281
Mailing address
54 Williams StLeominster, MA 01453-3276
Phone 877-558-8778 · Fax 610-903-4281
Authorized official
John M Montgomery
Ceo
8775588778
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