Provider Demographics
NPI:1437836418
Name:MGG HOLDINGS, LLC
Entity Type:Organization
Organization Name:MGG HOLDINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-908-5209
Mailing Address - Street 1:5550 FRIENDSHIP BLVD STE T90
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-7313
Mailing Address - Country:US
Mailing Address - Phone:301-654-4148
Mailing Address - Fax:202-296-0301
Practice Address - Street 1:5550 FRIENDSHIP BLVD STE T100
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-7228
Practice Address - Country:US
Practice Address - Phone:301-654-4148
Practice Address - Fax:202-296-0301
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MGG GROUP, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy