Organization
BRAIN MODULATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GONZALO LAJE MD (DIRECTOR)
(301) 576-6044
Entity
Organization
Contact information
Practice address
5480 WISCONSIN AVE STE 223, CHEVY CHASE, MD 20815-3503
(301) 576-6044
(301) 576-1645
Mailing address
5480 WISCONSIN AVE STE 223, CHEVY CHASE, MD 20815-3503
(301) 576-6044
(301) 576-1645
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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