Metropolitan Medical Consulting Services Llc | |
4000 Mitchellville Rd A204 Bowie MD 20716-3104 | |
(301) 352-0090 | |
(301) 390-6029 |
Full Name | Metropolitan Medical Consulting Services Llc |
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Speciality | Internal Medicine |
Location | 4000 Mitchellville Rd, Bowie, Maryland |
Authorized Official Name and Position | Kimberly L Bolling (PRESIDENT/CEO) |
Authorized Official Contact | 3013520090 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Metropolitan Medical Consulting Services Llc 14102 Mary Bowie Pkwy Upper Marlboro MD 20774-8570 Ph: (240) 245-3186 | Metropolitan Medical Consulting Services Llc 4000 Mitchellville Rd A204 Bowie MD 20716-3104 Ph: (301) 352-0090 |
NPI Number | 1669661112 |
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Provider Enumeration Date | 10/22/2007 |
Last Update Date | 05/09/2008 |
Medicare PECOS PAC ID | 4981640786 |
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Medicare Enrollment ID | O20050701000427 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669661112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0058411 (Maryland) | Primary |
Provider Name | Kimberly L Bolling |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255363891 PECOS PAC ID: 6901864859 Enrollment ID: I20041227000163 |
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