Provider Demographics
NPI:1447371760
Name:SOUTHWESTERN PENNSYLVANIA NEUROLOGY ASSOCIATES LTD
Entity type:Organization
Organization Name:SOUTHWESTERN PENNSYLVANIA NEUROLOGY ASSOCIATES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-228-4011
Mailing Address - Street 1:101TRICH DRIVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-5989
Mailing Address - Country:US
Mailing Address - Phone:724-228-4011
Mailing Address - Fax:724-228-7293
Practice Address - Street 1:101 TRICH DRIVE
Practice Address - Street 2:SUITE 1
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-5989
Practice Address - Country:US
Practice Address - Phone:724-228-4011
Practice Address - Fax:724-228-7293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty