BRIAN ABALUCK, LLC (NPI# 1962834077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962834077 |
| Entity Type | Organization |
| Organization Name | BRIAN ABALUCK, LLC |
| Practice Address |
2 Industrial Blvd Ste 100 Paoli PA 19301-1645 |
| Practice Telephone | 4845651358 |
| Practice Fax Number | 4845651312 |
| Mailing Telephone | 4845651358 |
| Mailing Fax Number | 4845651312 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2014-05-23 |
| Authorized Official Name | BRIAN K ABALUCK (CEO) |
| Authorized Official Telephone | 4845651358 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
MD4455233 | PA | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD4455233 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
2 INDUSTRIAL BLVD STE 100 |
| City | PAOLI |
| State | PA |
| Zip Code | 19301-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902986995 | Children's Hospital of Philadelphia | Pediatrics | 2 Industrial Blvd Ste 100, Paoli, PA 19301-1645 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
| 1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
| 1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
| 1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
| 1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
| 1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
| Find all providers in zip 19301 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144635079 | Joseph Chenhang Li | Psychiatry & Neurology | 21 Industrial Blvd Ste 205, Paoli, PA 19301-1610 | 2014-06-30 |
| 1588942643 | Sudhir Aggarwal | Psychiatry & Neurology | 250 W Lancaster Ave Ste 220, Paoli, PA 19301-1751 | 2011-07-23 |
| 1508860990 | Thomas Hild Graham | Psychiatry & Neurology | 11 Industrial Blvd Ste 204, Paoli, PA 19301 | 2005-06-13 |
| 1295902823 | Great Valley Neurological Associates LLC | Psychiatry & Neurology | 11 Industrial Blvd, Suite 204, Paoli, PA 19301-1632 | 2008-05-13 |
| 1669535001 | Neurology Consultants | Psychiatry & Neurology | 250 W Lancaster Ave, Suite 250, Paoli, PA 19301-1743 | 2006-12-18 |
| 1588741557 | Leonard R Geiger Jr. | Psychiatry & Neurology | 250 W Lancaster Ave, Suite 250, Paoli, PA 19301 | 2006-11-01 |
| 1053345934 | Craig Joseph Gardner | Psychiatry & Neurology | 11 Industrial Blvd, Suite 204, Paoli, PA 19301 | 2006-07-10 |
| 1497783930 | Thomas H. Graham | Psychiatry & Neurology | 11 Industrial Blvd, Suite 204, Paoli, PA 19301-1620 | 2006-06-30 |
| 1336189901 | Neuro Care Associates, Inc. | Psychiatry & Neurology | 21 Industrial Blvd, Suite 205, Paoli, PA 19301 | 2006-06-08 |
| 1376594630 | Philip A Adelman | Psychiatry & Neurology | 21 Industrial Blvd, Suite 205, Paoli, PA 19301-1610 | 2006-05-12 |
| Find all providers in PAOLI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.