Provider Demographics
NPI:1508006107
Name:METROPOLITAN MEDICAL SUPPLY
Entity Type:Organization
Organization Name:METROPOLITAN MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAIN
Authorized Official - Middle Name:STEPHANE
Authorized Official - Last Name:TIENTCHEU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-981-8902
Mailing Address - Street 1:7915 EASTERN AVE APT 411
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-5800
Mailing Address - Country:US
Mailing Address - Phone:703-891-8902
Mailing Address - Fax:240-393-4596
Practice Address - Street 1:7915 EASTERN AVE APT 411
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-5800
Practice Address - Country:US
Practice Address - Phone:703-891-8902
Practice Address - Fax:240-393-4596
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METROPOLITAN MEDICAL SUPPLY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N/A332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies