NPI | 1528893229 |
---|---|
Doing Business As | BRIDGEWATER NEUROLOGY |
Entity Type | Organization |
Authorized Contact | IMRAN KHAN Neurologist/CEO 302-853-7032 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
Enumeration Date | 2024-09-04 |
Last Update Date | 2024-11-20 |