Healthcare Provider Details

I. General information

NPI: 1982674727
Provider Name (Legal Business Name): NEIL DAVID STEINMETZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 10/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 PARKER DRIVE
TRURO MA
02666
US

IV. Provider business mailing address

548 MUIRFIELD DR
ATLANTIS FL
33462-1208
US

V. Phone/Fax

Practice location:
  • Phone: 561-346-8620
  • Fax: 800-787-4656
Mailing address:
  • Phone: 561-346-8620
  • Fax: 800-787-4656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number034472
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: