| Neil Julie, Md Pa | |
|
15225 Shady Grove Rd Suite 103 Rockville MD 20850-3254 | |
| (301) 987-0020 | |
| (301) 987-2420 |
| Full Name | Neil Julie, Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 15225 Shady Grove Rd, Rockville, Maryland |
| Authorized Official Name and Position | Neil L Julie (PRESIDENT) |
| Authorized Official Contact | 3019870020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neil Julie, Md Pa 15225 Shady Grove Rd Suite 103 Rockville MD 20850-3254 Ph: (301) 987-0020 | Neil Julie, Md Pa 15225 Shady Grove Rd Suite 103 Rockville MD 20850-3254 Ph: (301) 987-0020 |
| NPI Number | 1235200932 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 07/30/2008 |
| Medicare PECOS PAC ID | 0042278798 |
|---|---|
| Medicare Enrollment ID | O20041228000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235200932 | NPI | - | NPPES |
| CH4594 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | D0033849 (Maryland) | Primary |
| Provider Name | Seong E Ko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942466990 PECOS PAC ID: 6204998032 Enrollment ID: I20090102000362 |
| Provider Name | Neil L Julie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578661054 PECOS PAC ID: 7911965660 Enrollment ID: I20120409000477 |
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