Healthcare Provider Details

I. General information

NPI: 1598737751
Provider Name (Legal Business Name): THE NEUROLOGY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8555 16TH ST SUITE 310
SILVER SPRING MD
20910-2816
US

IV. Provider business mailing address

8555 16TH ST SUITE 310
SILVER SPRING MD
20910-2816
US

V. Phone/Fax

Practice location:
  • Phone: 301-562-7200
  • Fax: 301-565-6771
Mailing address:
  • Phone: 301-562-7200
  • Fax: 301-565-6771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: WENDY VAN FOSSEN
Title or Position: CEO
Credential:
Phone: 301-562-7200