West Branch Neurology Associates, Pc | |
425 Market Street First Floor Williamsport PA 17701-6345 | |
(570) 322-0990 | |
(570) 322-6087 |
Full Name | West Branch Neurology Associates, Pc |
---|---|
Speciality | Physician Assistant - Medical |
Location | 425 Market Street, Williamsport, Pennsylvania |
Authorized Official Name and Position | Stuart Martin Olinsky (PHYSICIAN PRESIDENT) |
Authorized Official Contact | 5703220990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
West Branch Neurology Associates, Pc 425 Market Street First Floor Williamsport PA 17701-6345 Ph: (570) 322-0990 | West Branch Neurology Associates, Pc 425 Market Street First Floor Williamsport PA 17701-6345 Ph: (570) 322-0990 |
NPI Number | 1336103688 |
---|---|
Provider Enumeration Date | 04/13/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336103688 | NPI | - | NPPES |
0017437170003 | Medicaid | PA | |
415955 | Other | PA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | MD026303E (Pennsylvania) | Primary |
363AM0700X | Physician Assistant - Medical | MA050972 (Pennsylvania) | Primary |
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