Organization
CAPITOL CARDIOLOGIC, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J KENNEDY M.D. (PRESIDENT)
(443) 481-1881
Entity
Organization
Contact information
Practice address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3280
(443) 481-1881
Mailing address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3280
(443) 481-1881
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LM46CA
BLUE SHIELD
MD
01
—
S846
GHI
DC
Enumeration date
01/15/2007
Last updated
01/09/2008
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