Healthcare Provider Details

I. General information

NPI: 1821912262
Provider Name (Legal Business Name): MIDATLANTIC ENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5454 WISCONSIN AVE STE 1535
CHEVY CHASE MD
20815-6922
US

IV. Provider business mailing address

5454 WISCONSIN AVE STE 1535
CHEVY CHASE MD
20815-6922
US

V. Phone/Fax

Practice location:
  • Phone: 301-657-7850
  • Fax:
Mailing address:
  • Phone: 301-657-7850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID SCOTT ROBINSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 301-550-1825