Organization
METROPOLITAN NEUROSURGERY GROUP ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRASER C HENDERSON MD (PRESIDENT)
(301) 654-9390
Entity
Organization
Contact information
Practice address
8116 GOOD LUCK RD, SUITE 205, LANHAM, MD 20706-3502
(301) 654-9390
(301) 654-9394
Mailing address
8116 GOOD LUCK RD, SUITE 205, LANHAM, MD 20706-3502
(301) 654-9390
(301) 654-9394
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D0044416
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043320252
NPI
MD
Enumeration date
02/08/2013
Last updated
05/08/2014
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