Lycoming Neurosurgical Associates, INC

NPI #1992857395 in Williamsport, Pennsylvania

Provider Information

NPI Number: 1992857395
Entity Type: Organization
Organization Name: Lycoming Neurosurgical Associates, INC
Primary Specialty: Specialist
Enumeration Date: Jan 17, 2007
Last Updated: Dec 29, 2009

Practice Location

Address: 904 CAMPBELL ST
Address 2: SUITE 104
City: Williamsport
State: Pennsylvania
ZIP Code: 17701-3166
Phone: (570) 326-2035

Authorized Official

Name: DR. RODWAN K RAJJOUB, M.D.
Title: PRESIDENT
Phone: (570) 326-2035

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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