Active NPI
Brian Abaluck, LLC
- Neurology Physician
- Paoli, PA
National Provider Identifier
1962834077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD4455233
- Legal business name
- BRIAN ABALUCK, LLC
- Practice address
- 2 Industrial Blvd Ste 100
Paoli, PA 19301-1645 - Phone
- (484) 565-1358
- Fax
- (484) 565-1312
- NPI assigned
- Jul 31, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian K Abaluck, MD
- Title
- Ceo
- Phone
- (484) 565-1358
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD4455233 | PA | Primary |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | MD4455233 | PA |
Addresses
Primary practice location
2 Industrial Blvd Ste 100
Paoli, PA 19301-1645
Mailing address
2 Industrial Blvd Ste 100
Paoli, PA 19301-1645
Phone (484) 565-1358
National Provider Directory
National Provider DirectoryLocations
462 E King Rd
Ste 1
Malvern, PA 19355
Phone (484) 888-0091
3855 West Chester Pike
Ste 215
Newtown Square, PA 19073
Phone (484) 565-1358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400803200000",
"number": "1962834077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 INDUSTRIAL BLVD STE 100",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011645",
"telephone_number": "484-565-1358",
"fax_number": "484-565-1312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 INDUSTRIAL BLVD STE 100",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011645",
"telephone_number": "484-565-1358",
"fax_number": "484-565-1312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN ABALUCK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-31",
"last_updated": "2014-05-23",
"status": "A",
"authorized_official_last_name": "ABALUCK",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "484-565-1358",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD4455233",
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "PA",
"license": "MD4455233",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.