Basic Information
| Provider Information | |||||||||
| NPI: | 1164049474 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | MIHALI | ||||||||
| FirstName: | SUELA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 41 UNIVERSITY DR STE 400 | ||||||||
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| City: | NEWTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189401873 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2158600100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 FRONT ST | ||||||||
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| City: | CONSHOHOCKEN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194282800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2158600100 | ||||||||
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| ProviderEnumerationDate: | 07/02/2020 | ||||||||
| LastUpdateDate: | 07/02/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/02/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 246ZE0600X | PA | Y | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Electroneurodiagnostic |
No ID Information.