| Metro Gerontology Center Llc | |
|
16051 Comprint Cir Ste 68 Gaithersburg MD 20877-1320 | |
| (571) 206-1650 | |
| (703) 662-6165 |
| Full Name | Metro Gerontology Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 16051 Comprint Cir Ste 68, Gaithersburg, Maryland |
| Authorized Official Name and Position | Jiho Choi (OWNER) |
| Authorized Official Contact | 5712061650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Gerontology Center Llc 16051 Comprint Cir Ste 68 Gaithersburg MD 20877-1320 Ph: (571) 206-1650 | Metro Gerontology Center Llc 16051 Comprint Cir Ste 68 Gaithersburg MD 20877-1320 Ph: (571) 206-1650 |
| NPI Number | 1770158206 |
|---|---|
| Provider Enumeration Date | 05/26/2021 |
| Last Update Date | 06/03/2021 |
| Medicare PECOS PAC ID | 3072919190 |
|---|---|
| Medicare Enrollment ID | O20210914003542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770158206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Jiho Choi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225149859 PECOS PAC ID: 8820097637 Enrollment ID: I20131017000676 |
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