Eastside Neurology, Inc.
NPI #1407079643 in East Providence, Rhode Island
Provider Information
- NPI Number
- 1407079643
- Entity Type
- Organization
- Organization Name
- Eastside Neurology, Inc.
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Apr 10, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 450 VETERANS MEMORIAL PKWY
- Address 2
- BUILDING 11
- City
- East Providence
- State
- Rhode Island
- ZIP Code
- 02914-5300
- Phone
- (401) 431-1860
Authorized Official
- Name
- DR. NORMAN MERVYN GORDON, M.D.
- Title
- PRESIDENT
- Phone
- (401) 431-1860
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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