Provider Demographics
NPI:1427419696
Name:NEUGANG NEUGANG, HERMANN
Entity Type:Individual
Prefix:
First Name:HERMANN
Middle Name:
Last Name:NEUGANG NEUGANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5909 CHERRYWOOD LN APT 204
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-4249
Mailing Address - Country:US
Mailing Address - Phone:202-375-4278
Mailing Address - Fax:
Practice Address - Street 1:5909 CHERRYWOOD LN APT 204
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-4249
Practice Address - Country:US
Practice Address - Phone:202-375-4278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide