Provider Demographics
NPI:1578661054
Name:JULIE, NEIL L (MD)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:L
Last Name:JULIE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15225 SHADY GROVE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3254
Mailing Address - Country:US
Mailing Address - Phone:301-987-0020
Mailing Address - Fax:301-987-2420
Practice Address - Street 1:15225 SHADY GROVE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3254
Practice Address - Country:US
Practice Address - Phone:301-987-0020
Practice Address - Fax:301-987-2420
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0033849207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2068321OtherAETNA HMO, POS
MD2900660OtherUNITED HEALTHCARE
MD4307436OtherAETNA PPO MC
MD5125-0001OtherCARE FIRST BLUE CHOICE
MD522234833OtherCIGNA
MD204353OtherKAISER
MD522234833OtherPHCS
MD56412OtherMDIPA OPTMIUM CHOICE
MD5125-0001OtherCARE FIRST BCBS NCA
MD56412OtherONE NET
MD501170OtherNCPPO
MD10014771OtherRAIL ROAD MEDICARE
MD204353OtherKAISER
MD5125-0001OtherCARE FIRST BLUE CHOICE
MD522234833OtherPHCS