Organization
CAPITAL ORTHOPAEDIC SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE R BASH (CFO)
(301) 552-8028
Entity
Organization
Contact information
Practice address
5801 ALLENTOWN RD STE 200, SUITLAND, MD 20746-4561
(301) 599-9500
(301) 856-7685
Mailing address
PO BOX 67012, NEWARK, NJ 07101-8080
(301) 599-9500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0028936
MD
225X00000X
Occupational Therapist
D0028936
MD
235Z00000X
Speech-Language Pathologist
D0028936
MD
261QP2000X
Physical Therapy Clinic/Center
D0028936
MD
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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