Basic Information
Provider Information
NPI: 1043578016
EntityType: 2
ReplacementNPI:  
OrganizationName: METROPOLITAN HOSPITALISTS LLC
LastName:  
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Credential:  
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Mailing Information
Address1: PO BOX 418163
Address2:  
City: BOSTON
State: MA
PostalCode: 022418163
CountryCode: US
TelephoneNumber: 3015528130
FaxNumber: 3015528135
Practice Location
Address1: 8118 GOOD LUCK ROAD
Address2:  
City: LANHAM
State: MD
PostalCode: 207063596
CountryCode: US
TelephoneNumber: 3015528130
FaxNumber: 3015528135
Other Information
ProviderEnumerationDate: 04/27/2012
LastUpdateDate: 04/11/2016
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: BASH
AuthorizedOfficialFirstName: CAMILLE
AuthorizedOfficialMiddleName: R
AuthorizedOfficialTitleorPosition: CFO
AuthorizedOfficialTelephone: 3015528028
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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