Provider Demographics
NPI:1336270230
Name:METRO CENTER NEUROLOGY
Entity Type:Organization
Organization Name:METRO CENTER NEUROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INS MGR
Authorized Official - Prefix:
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTINO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:800-998-9777
Mailing Address - Street 1:3 BETHESDA METRO CTR
Mailing Address - Street 2:SUITE 700
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-5330
Mailing Address - Country:US
Mailing Address - Phone:301-961-4885
Mailing Address - Fax:
Practice Address - Street 1:3 BETHESDA METRO CTR
Practice Address - Street 2:SUITE 700
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-5330
Practice Address - Country:US
Practice Address - Phone:301-961-4885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty