| University Of Maryland Charles Regional Neurology Center | |
|
101 Centennial St Suite B La Plata MD 20646-5975 | |
| (301) 609-4539 | |
| Not Available |
| Full Name | University Of Maryland Charles Regional Neurology Center |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 101 Centennial St, La Plata, Maryland |
| Authorized Official Name and Position | Stephanie Simm (PHYSICIAN RELATIONS SPECIALIST) |
| Authorized Official Contact | 3016094539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Maryland Charles Regional Neurology Center 75 Remittance Dr Dept 6554 Chicago IL 60675-6554 Ph: (301) 609-4539 | University Of Maryland Charles Regional Neurology Center 101 Centennial St Suite B La Plata MD 20646-5975 Ph: (301) 609-4539 |
| NPI Number | 1619237344 |
|---|---|
| Provider Enumeration Date | 05/29/2012 |
| Last Update Date | 06/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619237344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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