Doctor Name: | NOREEN CAPERS |
NPI Number: | 1750430930 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | R109410 |
Business Practice Address: | 2480 Llewellyn Ave Fort George G Meade, MD - 207555800 |
Business Phone Number: | 3016778843 |
Business Fax Number: | 3016778088 |
Mailing Address: | 1761 Dunton Rd, ANNAPOLIS |
State: | MD |
Postal Code: | 214016547 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | R109410 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |