Provider Demographics
NPI:1508244427
Name:NEIL, GARRY ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:GARRY
Middle Name:ARTHUR
Last Name:NEIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 MUIRFIELD CT
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-1297
Mailing Address - Country:US
Mailing Address - Phone:215-862-0109
Mailing Address - Fax:
Practice Address - Street 1:116 MUIRFIELD CT
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938-1297
Practice Address - Country:US
Practice Address - Phone:215-862-0109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-12
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD052059L207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology