Healthcare Provider Details

I. General information

NPI: 1528205408
Provider Name (Legal Business Name): THE METROPOLITAN NEUROSURGERY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2009
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 MERCANTILE LN STE 341
UPPER MARLBORO MD
20774-4331
US

IV. Provider business mailing address

1010 WAYNE AVE STE 420
SILVER SPRING MD
20910-5655
US

V. Phone/Fax

Practice location:
  • Phone: 301-557-9049
  • Fax: 301-654-9394
Mailing address:
  • Phone: 301-557-9049
  • Fax: 301-654-9394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number6742100001
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberD0044416
License Number StateMD

VIII. Authorized Official

Name: DR. FRASER CUMMINS HENDERSON SR.
Title or Position: PRESIDENT
Credential: MD
Phone: 301-654-9390