Active NPIOrganization

Shoreline Neurology, LLC

Psychiatry & Neurology, Neurology in Essex, Connecticut

NPI Number1255653036
Practice location
180 Westbrook RD, Building 5, Essex, CT 06426-1517
Fax
860-767-3434
Last updated
February 22, 2010

Shoreline Neurology, LLC is a healthcare organization based in Essex, CT. Shoreline Neurology, LLC practices in Essex, CT. The NPI Number for Shoreline Neurology, LLC is 1255653036 and holds a License No. 041137 (CT). The current practice location address for Shoreline Neurology, LLC is 180 Westbrook RD, Building 5, Essex, CT 06426-1517 and can be reached out via phone at 860-767-1034 and via fax at 860-767-3434.

Provider Profile Details

NPI Number
1255653036
Provider Name
Shoreline Neurology, LLC
Provider Entity Type
Organization
Address
180 Westbrook RD, Building 5, Essex, CT 06426-1517
Phone Number
860-767-1034
Fax Number
860-767-3434
Primary Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X
Organization Subpart
No
Authorized Official
Dr. Gang Lian, MD, PHD · Sole Member · 860-767-1034
Provider Enumeration Date
February 22, 2010
Last Update Date
February 22, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 Westbrook RD
Building 5
Essex, CT 06426-1517
City
Essex
Zip
06426-1517
Phone Number
860-767-1034
Fax Number
860-767-3434
Essex, CT 06426Get directions →

Provider Business Mailing Address Details

Address
180 Westbrook RD
Building 5
Essex, CT 06426-1517
City
Essex
State
CT
Zip
06426-1517
Phone Number
860-767-1034
Fax Number
860-767-3434

License Information

License Number
041137
License State
CT
Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shoreline Neurology, LLC?

The NPI number of Shoreline Neurology, LLC is 1255653036. It was assigned on February 22, 2010 and is currently active in the NPPES registry.

What is the specialty of Shoreline Neurology, LLC?

Shoreline Neurology, LLC is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in CT under license number 041137.

Where does Shoreline Neurology, LLC practice?

The practice location is 180 Westbrook RD, Building 5, Essex, CT 06426-1517. The office can be reached at 860-767-1034 (phone) or 860-767-3434 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255653036 directly on the NPPES registry website.

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