Organization
CLINICAL NEUROSCIENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAIS D WEIBEL M.D. (OWNER)
(410) 997-1928
Entity
Organization
Contact information
Practice address
11055 LITTLE PATUXENT PKWY, SUITE 209, COLUMBIA, MD 21044-2896
(410) 997-1928
(410) 997-1929
Mailing address
4509 ROSEDALE AVE, BETHESDA, MD 20814-4754
(410) 997-1928
(410) 997-1929
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D0057645
MD
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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