Individual
DR. TIMOTHY M CAPSTACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3280
(443) 481-1000
(443) 949-0825
Mailing address
7250 PARKWAY DR STE 500, HANOVER, MD 21076-1343
(443) 949-0814
(443) 949-0825
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
D66753
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015649300
—
MD
Enumeration date
07/22/2006
Last updated
05/17/2022
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