Healthcare Provider Details

I. General information

NPI: 1245310614
Provider Name (Legal Business Name): STEVEN K NEUFELD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 11/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2922 TELESTAR CT
FALLS CHURCH VA
22042-1206
US

IV. Provider business mailing address

2922 TELESTAR CT
FALLS CHURCH VA
22042-1206
US

V. Phone/Fax

Practice location:
  • Phone: 703-769-8420
  • Fax:
Mailing address:
  • Phone: 703-769-8420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License Number0101230685
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: