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Organization

NEUROSCIENCE CONSULTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONLIN M LONG M.D., PH.D (OWNER)
(410) 343-3001
Entity
Organization

Contact information

Practice address
1447 YORK RD STE 406, LUTHERVILLE, MD 21093-6057
(410) 343-3001
(410) 823-0015
Mailing address
1447 YORK RD STE 406, LUTHERVILLE, MD 21093-6057
(410) 343-3001
(410) 823-0015

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D0015896
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
191600YCJ5
MEDICARE
MD
Enumeration date
07/16/2010
Last updated
09/20/2019
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