Provider Demographics
NPI:1265681738
Name:NEUROLOGY CONSULTANT SERVICES, P.C.
Entity Type:Organization
Organization Name:NEUROLOGY CONSULTANT SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:MITCHELL
Authorized Official - Last Name:TUWINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-858-5454
Mailing Address - Street 1:19450 DEERFIELD AVE
Mailing Address - Street 2:175
Mailing Address - City:LANSDOWNE
Mailing Address - State:VA
Mailing Address - Zip Code:20176-6820
Mailing Address - Country:US
Mailing Address - Phone:703-858-5454
Mailing Address - Fax:
Practice Address - Street 1:19450 DEERFIELD AVE
Practice Address - Street 2:175
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-6820
Practice Address - Country:US
Practice Address - Phone:703-858-5454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA010102388482084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty