MEDICARE: DR. GAYLE M. NEUFELD 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
1	2084P0800X	Psychiatry Physician	MD32810	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MD32810	OTHER	DC	LICENSE NUMBER

General Provider Information

NPI Number	:	1245263227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GAYLE M. NEUFELD M.D.

Provider Business Mailing Address
First Line	:	1313 NEW YORK AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20005-4701
Country	:	US
Telephone Number	:	202-737-6191
Fax Number	:	202-737-2316

Provider Business Practice Location Address
First Line	:	1313 NEW YORK AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20005-4701
Country	:	US
Telephone Number	:	202-737-6191
Fax Number	:	202-737-2316

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	12/05/2007

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