Organization · Type 2 NPI

Green Ridge Behavioral Health, LLC

Neurology Physician · Frederick, MD

NPI number 1609283050 Active

Practice location

5216 Chairmans Court, Suite 102
Frederick, MD 21703

Call (240) 683-6202 Map

Fax (240) 683-6203

Mailing address

610 Professional Drive
Gaithersburg, MD 20897

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400XD0056459 (MD)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1609283050

Green Ridge Behavioral Health, LLC's National Provider Identifier is 1609283050, issued on Jul 17, 2014. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Frederick, MD. The record was last updated on Jul 17, 2014.