# CAPITAL PRIMARY AND GERIATRIC CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689936304
- **Authorized official:** MRS. TINA ALOYSIUS (MANAGER)
- **Authorized official phone:** (301) 258-1904

## Contact information

- **Practice address:** 100 1ST ST, SUITE 130, ROCKVILLE, MD 20851-1314
- **Practice address phone:** (301) 258-1904
- **Practice address fax:** (301) 339-7722
- **Mailing address:** 100 1ST ST, SUITE 130, ROCKVILLE, MD 20851-1314
- **Mailing address phone:** (301) 258-1904
- **Mailing address fax:** (301) 339-7722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD432933 | MD | Yes |

## Other

- **Enumeration date:** 06/08/2012
- **Last updated:** 06/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 024810000 | — | MD |