Provider Demographics
NPI:1386022028
Name:CAPITAL ORTHOPAEDIC SPECIALISTS LLC
Entity Type:Organization
Organization Name:CAPITAL ORTHOPAEDIC SPECIALISTS LLC
Other - Org Name:COS LLC DME CLINTON
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:T
Authorized Official - Last Name:CROWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-599-1000
Mailing Address - Street 1:7501 SURRATTS RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-3362
Mailing Address - Country:US
Mailing Address - Phone:240-842-1434
Mailing Address - Fax:301-868-5443
Practice Address - Street 1:7501 SURRATTS RD
Practice Address - Street 2:SUITE 110
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-3362
Practice Address - Country:US
Practice Address - Phone:240-842-1434
Practice Address - Fax:301-868-5443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0022407332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies