Healthcare Provider Details

I. General information

NPI: 1245897941
Provider Name (Legal Business Name): METROPOLITAN MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2019
Last Update Date: 05/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3046 VALLEY AVE STE 100
WINCHESTER VA
22601-2679
US

IV. Provider business mailing address

PO BOX 41231
ARLINGTON VA
22204-8231
US

V. Phone/Fax

Practice location:
  • Phone: 703-725-4052
  • Fax:
Mailing address:
  • Phone: 703-725-4052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ARTHUR WEBB
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 703-725-4052