Healthcare Provider Details

I. General information

NPI: 1932345618
Provider Name (Legal Business Name): DEAN D. METCALFE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2008
Last Update Date: 12/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NIH 10 CENTER DR 10/11C207
BETHESDA MD
20892-0001
US

IV. Provider business mailing address

NIH 10 CENTER DR 10/11C207
BETHESDA MD
20892-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-496-2165
  • Fax: 301-480-8384
Mailing address:
  • Phone: 301-496-2165
  • Fax: 301-480-8384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberD0019078
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberD0019078
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: