Organization
CAPITOL BRIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK JORDAN (MANAGING PARTNER)
(703) 801-8821
Entity
Organization
Contact information
Practice address
2300 9TH ST S PH 3, ARLINGTON, VA 22204-2320
(703) 801-8821
Mailing address
2300 9TH ST S PH 3, ARLINGTON, VA 22204-2320
(703) 801-8821
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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