Prince William Neurology Center Inc | |
14401 Hereford Rd Woodbridge VA 22193-2128 | |
(703) 670-9553 | |
(703) 670-0483 |
Full Name | Prince William Neurology Center Inc |
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Speciality | Psychiatry & Neurology |
Location | 14401 Hereford Rd, Woodbridge, Virginia |
Authorized Official Name and Position | Naurang S Gill (PRESIDENT) |
Authorized Official Contact | 7036709553 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Prince William Neurology Center Inc 14401 Hereford Rd Woodbridge VA 22193-2128 Ph: (703) 670-9553 | Prince William Neurology Center Inc 14401 Hereford Rd Woodbridge VA 22193-2128 Ph: (703) 670-9553 |
NPI Number | 1174829832 |
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Provider Enumeration Date | 01/28/2011 |
Last Update Date | 01/28/2011 |
Medicare PECOS PAC ID | 3971787805 |
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Medicare Enrollment ID | O20110418000446 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174829832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 0101033757 (Virginia) | Primary |
Provider Name | Naurang Singh Gill |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1104912245 PECOS PAC ID: 4880878719 Enrollment ID: I20110418000456 |
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