Provider Demographics
NPI:1174716252
Name:METROPOLITAN PHYSICIANS GROUP LLC
Entity type:Organization
Organization Name:METROPOLITAN PHYSICIANS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEGAL COUNCIL / ATTORNEY
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:H
Authorized Official - Last Name:SEIFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-577-1360
Mailing Address - Street 1:300 E LOMBARD ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3219
Mailing Address - Country:US
Mailing Address - Phone:202-577-1360
Mailing Address - Fax:703-790-1775
Practice Address - Street 1:6510 KENILWORTH AVE
Practice Address - Street 2:SUITE 2200
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1339
Practice Address - Country:US
Practice Address - Phone:202-577-1360
Practice Address - Fax:703-790-1775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD=========OtherTAX ID#