MEDICARE: DR. ROBERT MCNEIL 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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	D72168	MD

General Provider Information

NPI Number	:	1538365168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT MCNEIL M.D.

Provider Business Mailing Address
First Line	:	4922 LASALLE RD
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-3302
Country	:	US
Telephone Number	:	301-864-2333
Fax Number	:

Provider Business Practice Location Address
First Line	:	4922 LASALLE RD
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-3302
Country	:	US
Telephone Number	:	301-864-2333
Fax Number	:

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

Provider Enumeration Date	:	06/21/2007
Last Update Date	:	10/20/2014

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