Provider Demographics
NPI:1982996039
Name:NORTH SHORE NEUROLOGY & EMG LLC
Entity type:Organization
Organization Name:NORTH SHORE NEUROLOGY & EMG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:TRAMONTOZZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-922-2226
Mailing Address - Street 1:152 CONANT ST STE 200
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-1659
Mailing Address - Country:US
Mailing Address - Phone:978-922-2226
Mailing Address - Fax:978-922-2269
Practice Address - Street 1:152 CONANT ST STE 200
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1659
Practice Address - Country:US
Practice Address - Phone:978-922-2226
Practice Address - Fax:978-922-2269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-09
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA756132084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1043314198Medicare NSC