MEDICARE: MS. JOYCE W NEAL 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	207V00000X	Obstetrics & Gynecology Physician	D0050618	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730187527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOYCE W NEAL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 160
Second Line	:
City	:	LOVEVILLE
State	:	MD
Zip	:	20656-0160
Country	:	US
Telephone Number	:	301-475-0145
Fax Number	:	301-475-0443

Provider Business Practice Location Address
First Line	:	23140 MOAKLEY STREET
Second Line	:	SUITE 1
City	:	LEONARDTOWN
State	:	MD
Zip	:	20650-2923
Country	:	US
Telephone Number	:	301-475-0145
Fax Number	:	301-475-0443

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

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	08/12/2021

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