Provider Demographics
NPI:1346453917
Name:METRO INDUSTRIAL MEDICINE AND REHABILITATION INC
Entity Type:Organization
Organization Name:METRO INDUSTRIAL MEDICINE AND REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:PT OCS
Authorized Official - Phone:410-363-0015
Mailing Address - Street 1:2300 GARRISON BLVD
Mailing Address - Street 2:SUITE 192
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21216-2335
Mailing Address - Country:US
Mailing Address - Phone:410-566-2560
Mailing Address - Fax:410-566-3025
Practice Address - Street 1:2300 GARRISON BLVD
Practice Address - Street 2:SUITE 192
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-2335
Practice Address - Country:US
Practice Address - Phone:410-566-2560
Practice Address - Fax:410-566-3025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty