Provider Demographics
NPI:1295827293
Name:METROPOLITAN PEDIATRICS, LLC
Entity Type:Organization
Organization Name:METROPOLITAN PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:S
Authorized Official - Last Name:SWANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-230-2280
Mailing Address - Street 1:11125 ROCKVILLE PIKE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:N BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3142
Mailing Address - Country:US
Mailing Address - Phone:301-230-2280
Mailing Address - Fax:301-230-2245
Practice Address - Street 1:11125 ROCKVILLE PIKE
Practice Address - Street 2:SUITE 209
Practice Address - City:N BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-3142
Practice Address - Country:US
Practice Address - Phone:301-230-2280
Practice Address - Fax:301-230-2245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0053243208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD9418214OtherPHCS
MDJ575 0002OtherBCBS
MD601 AMEOtherBCBS OF MD
MD1952305872OtherNPI DR KULP
MD6513183OtherCIGNA
MD9892352OtherCIGNA
MD7234782OtherAETNA
MD1326026659OtherNPI DR KUSKOWSKI
MD7925383OtherAETNA
MDJ575 0001OtherBCBS
MD1183339OtherAETNA
MD2112424OtherUHC