Organization
METRO IPC SILVER SPRING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER TIMM (ADMINISTRATOR)
(202) 641-4155
Entity
Organization
Contact information
Practice address
8484 GEORGIA AVE, SUITE 1, SILVER SPRING, MD 20910-5604
(202) 641-4155
(301) 263-7761
Mailing address
8484 GEORGIA AVE, SUITE 1, SILVER SPRING, MD 20910-5604
(202) 641-4155
(301) 263-7761
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20115
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126211400
—
MD
Enumeration date
01/24/2012
Last updated
11/23/2012
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