Healthcare Provider Details

I. General information

NPI: 1619985223
Provider Name (Legal Business Name): METRO ORTHOPEDICS AND SPORTS THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 COLESVILLE RD STE 50
SILVER SPRING MD
20910-3387
US

IV. Provider business mailing address

8401 COLESVILLE RD STE 50
SILVER SPRING MD
20910-3387
US

V. Phone/Fax

Practice location:
  • Phone: 301-588-5788
  • Fax: 301-588-3419
Mailing address:
  • Phone: 301-588-5788
  • Fax: 301-588-3419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN SMITH
Title or Position: PRESIDENT
Credential: M.D.
Phone: 301-588-5788