# THE NEUROSCIENCE TEAM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679964480
- **Authorized official:** WALTER E KOZACHUK M.D. (NEUROLOGIST)
- **Authorized official phone:** (410) 828-8700

## Contact information

- **Practice address:** 22 WEST RD, SUITE 100, TOWSON, MD 21204-2326
- **Practice address phone:** (410) 828-8700
- **Practice address fax:** (410) 828-5620
- **Mailing address:** 22 WEST RD, SUITE 100, TOWSON, MD 21204-2326
- **Mailing address phone:** (410) 828-8700
- **Mailing address fax:** (410) 828-5620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | D0037279 | MD | Yes |

## Other

- **Enumeration date:** 02/16/2015
- **Last updated:** 02/16/2015