Provider Demographics
NPI:1477285849
Name:METRO AREA MODERN REPRODUCTIVE CARE LLC
Entity type:Organization
Organization Name:METRO AREA MODERN REPRODUCTIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-966-6696
Mailing Address - Street 1:4445 WILLARD AVE STE 600
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3786
Mailing Address - Country:US
Mailing Address - Phone:301-966-6696
Mailing Address - Fax:636-205-1732
Practice Address - Street 1:4445 WILLARD AVE STE 600
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-3786
Practice Address - Country:US
Practice Address - Phone:301-966-6696
Practice Address - Fax:636-205-1732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-25
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty