Organization
METROPOLITAN FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERREN SHINAR PERRY-FABRIZIO MD (OWNER)
(301) 317-8660
Entity
Organization
Contact information
Practice address
3450 FORT MEADE RD, SUITE 109, LAUREL, MD 20724-2040
(301) 317-8660
(301) 317-8663
Mailing address
3450 FORT MEADE RD, SUITE 109, LAUREL, MD 20724-2040
(301) 317-8660
(301) 317-8663
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D059182
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024205501
—
MD
Enumeration date
02/04/2008
Last updated
05/18/2012
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