Organization
THE METROPOLITAN NEUROSURGERY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRASER CUMMINS HENDERSON SR. MD (PRESIDENT)
(301) 654-9390
Entity
Organization
Contact information
Practice address
8401 CONNECTICUT AVE, SUITE 220, CHEVY CHASE, MD 20815
(301) 654-9390
Mailing address
1010 WAYNE AVE STE 420, SILVER SPRING, MD 20910-5655
(301) 557-9049
(301) 654-9394
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0044416
MD
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6742100001
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148366
PTAN
MD
Enumeration date
01/14/2009
Last updated
01/18/2023
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