Provider Demographics
NPI:1447557871
Name:SOLOMON, CALEB (ESQ)
Entity Type:Individual
Prefix:
First Name:CALEB
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:ESQ
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 MANOMET CT
Mailing Address - Street 2:
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-3214
Mailing Address - Country:US
Mailing Address - Phone:301-982-3434
Mailing Address - Fax:301-982-3411
Practice Address - Street 1:2301 MANOMET CT
Practice Address - Street 2:
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-3214
Practice Address - Country:US
Practice Address - Phone:301-982-3434
Practice Address - Fax:301-982-3411
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-21
Last Update Date:2011-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies