Individual
PATRICK L NEUSTATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 SAM PERRY BLVD, FREDERICKSBURG, VA 22401
(540) 741-1061
(540) 741-1096
Mailing address
1301 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-8420
(540) 741-1061
(540) 741-1096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101039127
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00090768
AETNA CAP
VA
05
—
005636973
—
VA
01
—
0101039127
LICENSE
VA
01
—
0898100
AETNA HMO
VA
01
—
285302
ANTHEM
VA
01
—
4092057
AETNA NON HMO
VA
01
—
82929
MAMSI
VA
01
—
CA9037
MCR RAILROAD GROUP
VA
01
—
CO2375
MEDICARE GROUP
VA
Enumeration date
01/23/2006
Last updated
07/30/2019
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