Provider Demographics
NPI:1902114879
Name:METROPOLITAN WASHINGTON ORTHOPAEDIC ASSOCIATION
Entity Type:Organization
Organization Name:METROPOLITAN WASHINGTON ORTHOPAEDIC ASSOCIATION
Other - Org Name:PHYSICAL MEDICINE REHAB CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT OF THE COMPANY
Authorized Official - Prefix:
Authorized Official - First Name:RIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:AZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-839-3373
Mailing Address - Street 1:417 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2311
Mailing Address - Country:US
Mailing Address - Phone:301-839-3373
Mailing Address - Fax:301-749-0027
Practice Address - Street 1:6144 OXON HILL RD
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3107
Practice Address - Country:US
Practice Address - Phone:301-839-3373
Practice Address - Fax:301-749-0027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies