Provider Demographics
NPI:1699963041
Name:NEIL SPIEGEL D.O INC
Entity type:Organization
Organization Name:NEIL SPIEGEL D.O INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:301-231-5050
Mailing Address - Street 1:3200 TOWER OAKS BLVD
Mailing Address - Street 2:430
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4216
Mailing Address - Country:US
Mailing Address - Phone:301-231-5050
Mailing Address - Fax:301-231-5008
Practice Address - Street 1:3200 TOWER OAKS BLVD
Practice Address - Street 2:430
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4216
Practice Address - Country:US
Practice Address - Phone:301-231-5050
Practice Address - Fax:301-231-5008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG01036Medicare PIN