Center For Brain And Neurocare Llc | |
7625 Maple Lawn Blvd Ste 260 Fulton MD 20759-2565 | |
(301) 490-6085 | |
Not Available |
Full Name | Center For Brain And Neurocare Llc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 7625 Maple Lawn Blvd, Fulton, Maryland |
Authorized Official Name and Position | Ruwani D. Gunawardane (PRESIDENT) |
Authorized Official Contact | 3014906085 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Center For Brain And Neurocare Llc 7625 Maple Lawn Blvd Ste 260 Fulton MD 20759-2565 Ph: (301) 490-6085 | Center For Brain And Neurocare Llc 7625 Maple Lawn Blvd Ste 260 Fulton MD 20759-2565 Ph: (301) 490-6085 |
NPI Number | 1912393141 |
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Provider Enumeration Date | 04/14/2015 |
Last Update Date | 04/14/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912393141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | D47119 (Maryland) | Primary |
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