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NPI Code Detail

MEDICARE: MR. JEAN JOEL VILLIER M.D.

MEDICARE: MR. JEAN JOEL VILLIER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianMD25222DC

General Provider Information

NPI Number : 1649212200
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEAN JOEL VILLIER M.D.
Provider Business Mailing Address
First Line : 12816 ODENS BEQUEST DR
Second Line :
City : BOWIE
State : MD
Zip : 20720-5614
Country : US
Telephone Number : 240-463-3579
Fax Number :
Provider Business Practice Location Address
First Line : 4017 MINNESOTA AVE NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-3541
Country : US
Telephone Number : 202-388-9202
Fax Number : 202-388-9209
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2006
Last Update Date : 09/20/2023

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