| Capital Neurology | |
|
2730 Prosperity Ave Ste B Fairfax VA 22031-4330 | |
| (703) 289-1450 | |
| (703) 289-1414 |
| Full Name | Capital Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2730 Prosperity Ave Ste B, Fairfax, Virginia |
| Authorized Official Name and Position | Marc P Difazio (PRESIDENT) |
| Authorized Official Contact | 3013092211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Neurology 9715 Medical Center Dr Suite 414 Rockville MD 20850-3320 Ph: (301) 309-2211 | Capital Neurology 2730 Prosperity Ave Ste B Fairfax VA 22031-4330 Ph: (703) 289-1450 |
| NPI Number | 1225102502 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225102502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | D0062946 (Maryland) | Primary |
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