Organization
CAPITAL COLON & RECTAL CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PREETHA ALI MD (COLON & RECTAL SURGEON)
(301) 325-3377
Entity
Organization
Contact information
Practice address
602 S ATWOOD RD STE 205, BEL AIR, MD 21014-4329
(410) 803-2211
(410) 420-9841
Mailing address
22626 TATE ST, CLARKSBURG, MD 20871-6393
(301) 325-3377
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12716723
CAQH
—
Enumeration date
05/13/2022
Last updated
06/06/2022
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