Provider Demographics
NPI:1730187527
Name:NEAL, JOYCE W (MD)
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:W
Last Name:NEAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:
Mailing Address - City:LOVEVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20656-0160
Mailing Address - Country:US
Mailing Address - Phone:301-475-0145
Mailing Address - Fax:301-475-0443
Practice Address - Street 1:23140 MOAKLEY STREET
Practice Address - Street 2:SUITE 1
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-2923
Practice Address - Country:US
Practice Address - Phone:301-475-0145
Practice Address - Fax:301-475-0443
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0050618207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD439602200Medicaid
707MMedicare ID - Type Unspecified
MD439602200Medicaid