MEDICARE: METRO PROSTHETICS, INC.

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
1	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386646263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO PROSTHETICS, INC.

Provider Business Mailing Address
First Line	:	7438 ANNAPOLIS RD
Second Line	:
City	:	LANDOVER HILLS
State	:	MD
Zip	:	20784-2314
Country	:	US
Telephone Number	:	301-459-0999
Fax Number	:	301-731-4308

Provider Business Practice Location Address
First Line	:	7438 ANNAPOLIS RD
Second Line	:
City	:	LANDOVER HILLS
State	:	MD
Zip	:	20784-2314
Country	:	US
Telephone Number	:	301-459-0999
Fax Number	:	301-731-4308

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. PETE GOLLER
Credential	:	C.P.
Telephone Number	:	301-459-0999

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	11/14/2007

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Directions to “METRO PROSTHETICS, INC. ” Practice Location

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