| Brain Modulation Services, Llc | |
|
5480 Wisconsin Ave Ste 223 Chevy Chase MD 20815-3503 | |
| (301) 576-6044 | |
| (301) 576-1645 |
| Full Name | Brain Modulation Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5480 Wisconsin Ave Ste 223, Chevy Chase, Maryland |
| Authorized Official Name and Position | Gonzalo Laje (DIRECTOR) |
| Authorized Official Contact | 3015766044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Modulation Services, Llc 5480 Wisconsin Ave Ste 223 Chevy Chase MD 20815-3503 Ph: (301) 576-6044 | Brain Modulation Services, Llc 5480 Wisconsin Ave Ste 223 Chevy Chase MD 20815-3503 Ph: (301) 576-6044 |
| NPI Number | 1609409150 |
|---|---|
| Provider Enumeration Date | 02/12/2020 |
| Last Update Date | 02/12/2020 |
| Certification Date | 02/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609409150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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