Provider Demographics
NPI:1295797876
Name:NEURO MEDICAL SYSTEMS,INC.
Entity type:Organization
Organization Name:NEURO MEDICAL SYSTEMS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-638-1606
Mailing Address - Street 1:1327 ADAMS RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-3966
Mailing Address - Country:US
Mailing Address - Phone:215-638-1606
Mailing Address - Fax:215-638-8617
Practice Address - Street 1:1327 ADAMS RD
Practice Address - Street 2:SUITE A
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-3966
Practice Address - Country:US
Practice Address - Phone:215-638-1606
Practice Address - Fax:215-638-8617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0415380001Medicare ID - Type Unspecified