Provider Demographics
NPI:1851458574
Name:NEAL, GEORGE B (MD)
Entity Type:Individual
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First Name:GEORGE
Middle Name:B
Last Name:NEAL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2 COMMERCE DR
Mailing Address - Street 2:STE 205
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6803
Mailing Address - Country:US
Mailing Address - Phone:603-472-8624
Mailing Address - Fax:603-472-9146
Practice Address - Street 1:18 CONSTITUTION DR
Practice Address - Street 2:UNIT 6
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6076
Practice Address - Country:US
Practice Address - Phone:603-472-8624
Practice Address - Fax:603-472-9146
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2020-05-22
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Provider Licenses
StateLicense IDTaxonomies
NH69562084S0012X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30203391Medicaid
NHE60911Medicare UPIN
NH30203391Medicaid