East Bay Neurology Professional Corporation
NPI #1275668006 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1275668006
- Entity Type
- Organization
- Organization Name
- East Bay Neurology Professional Corporation
- Primary Specialty
- Clinical Neuropsychologist
- Enumeration Date
- Feb 22, 2007
- Last Updated
- Jun 20, 2018
Practice Location
- Address
- 333 SCHOOL ST STE 216
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02860
- Phone
- (401) 722-7300
Authorized Official
- Name
- MOTASEM A AL YACOUB, MD
- Title
- PRESIDENT
- Phone
- (401) 724-4100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
| Psychiatry & Neurology - Neurology — Neurology |
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