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NPI Code Detail

MEDICARE: METRO DIRECT CARE MEDICAL, LLC

MEDICARE: METRO DIRECT CARE MEDICAL, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1295078046
Entity Type Code : Organization
Provider Name (Legal Business Name) : METRO DIRECT CARE MEDICAL, LLC
Provider Business Mailing Address
First Line : 2 WISCONSIN CIR STE 700
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-7007
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 WISCONSIN CIR STE 700
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-7007
Country : US
Telephone Number : 202-368-6820
Fax Number :
Authorized Official
Title or Position : OPERATIONS MANAGER
Name : PATRICK LODISE
Credential :
Telephone Number : 202-368-6820
Provider Enumeration Date : 03/30/2013
Last Update Date : 03/30/2013

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Directions to “METRO DIRECT CARE MEDICAL, LLC ” Practice Location

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