Provider Demographics
NPI:1851804355
Name:METROPOLITAN PODIATRY
Entity Type:Organization
Organization Name:METROPOLITAN PODIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BERTHIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LABISSIERE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:202-882-9682
Mailing Address - Street 1:6323 GEORGIA AVE NW STE 202
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1141
Mailing Address - Country:US
Mailing Address - Phone:202-882-9682
Mailing Address - Fax:202-882-4983
Practice Address - Street 1:6323 GEORGIA AVE NW STE 202
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1141
Practice Address - Country:US
Practice Address - Phone:202-882-9682
Practice Address - Fax:202-882-4983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-07
Last Update Date:2017-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPO582213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty