Provider Demographics
NPI:1972893113
Name:NEUROLOGY ASSOCIATES OF GREATER HARTFORD PC
Entity type:Organization
Organization Name:NEUROLOGY ASSOCIATES OF GREATER HARTFORD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:BERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-278-8937
Mailing Address - Street 1:100 WELLS ST
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06103-2928
Mailing Address - Country:US
Mailing Address - Phone:860-278-8937
Mailing Address - Fax:860-244-2452
Practice Address - Street 1:100 WELLS ST
Practice Address - Street 2:SUITE 1B
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06103-2928
Practice Address - Country:US
Practice Address - Phone:860-278-8937
Practice Address - Fax:860-244-2452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT132922084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1265409726OtherNPI
CT130000048Medicare PIN
CTB38630Medicare UPIN