Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 0101037612 | VA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | D0032351 | MD |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD14411 | DC |
NPI | 1063562544 |
---|---|
Provider Name | Dr. Gregory A Neas |
First Address | Rockville, MD 20852-4908 |
Second Address | Falls Church, VA 22046-4518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 06/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B94790 | (02) |