| Metropolitan Family Practice, Llc | |
|
3450 Fort Meade Rd Suite 109 Laurel MD 20724-2040 | |
| (301) 317-8660 | |
| (301) 317-8663 |
| Full Name | Metropolitan Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3450 Fort Meade Rd, Laurel, Maryland |
| Authorized Official Name and Position | Gerren Shinar Perry-fabrizio (OWNER) |
| Authorized Official Contact | 3013178660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Family Practice, Llc 3450 Fort Meade Rd Suite 109 Laurel MD 20724-2040 Ph: (301) 317-8660 | Metropolitan Family Practice, Llc 3450 Fort Meade Rd Suite 109 Laurel MD 20724-2040 Ph: (301) 317-8660 |
| NPI Number | 1679751473 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 05/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679751473 | NPI | - | NPPES |
| 024205501 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D059182 (Maryland) | Primary |
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