Organization
CAPITOL SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. INDIA J GASKINS (ADMINISTRATOR)
(301) 588-5217
Entity
Organization
Contact information
Practice address
8401 COLESVILLE RD, SUITE 310, SILVER SPRING, MD 20910-3312
(301) 588-5217
Mailing address
8401 COLESVILLE RD, SUITE 310, SILVER SPRING, MD 20910-3312
(301) 588-5217
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D25458
MD
Other
Enumeration date
10/09/2007
Last updated
10/18/2007
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