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NEUROSUITE LLC

Ambulatory Health Care Facilities Clinic/Center Occupational Medicine

Provider NPI: 1558820787

Organization Information:
Organization Name:  NEUROSUITE LLC
Organization is not Subpart
Authorized Official:  PETER  GASKINS  OWNER/THERAPIST  202-794-7495

Practice Location:
1220 HOLBROOK TER NE APT B3  WASHINGTON, DC 20002-2712 US
Tel: 202-794-7495  Fax: 989-424-6302

Business Mailing Address:
1220 HOLBROOK TER NE APT B3  WASHINGTON, DC 20002-2712 US
Tel: 202-794-7495  Fax: --

NPI Information:
NPI: 1558820787
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QX0100XAmbulatory Health Care Facilities
Clinic/Center
Occupational Medicine

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QX0100X

Type:

Classification:



Definition:



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