Provider Demographics
NPI:1134284722
Name:SPIEGEL, NEIL (DO)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:
Last Name:SPIEGEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 TOWER OAKS BLVD
Mailing Address - Street 2:SUITE 430
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4216
Mailing Address - Country:US
Mailing Address - Phone:301-231-5050
Mailing Address - Fax:301-231-5008
Practice Address - Street 1:3200 TOWER OAKS BLVD
Practice Address - Street 2:SUITE 430
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4216
Practice Address - Country:US
Practice Address - Phone:301-231-5050
Practice Address - Fax:301-231-5008
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH00420152081P2900X
VA01020499682081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDSP671881Medicare ID - Type Unspecified