Organization
METROPOLITAN CARDIAC SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN R PETRO MD (SOLE MEMBER)
(202) 309-1880
Entity
Organization
Contact information
Practice address
4123 N RIDGEVIEW RD, MC LEAN, VA 22101-5803
(202) 309-1880
Mailing address
4123 N RIDGEVIEW RD, MC LEAN, VA 22101-5803
(202) 309-1880
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD30329
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659395739
INDIVIDUAL NPI
—
01
—
H33533
UPIN
—
Enumeration date
04/23/2010
Last updated
04/23/2010
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