Provider Demographics
NPI:1528401791
Name:CAPITAL SURGICAL SOLUTIONS INC.
Entity Type:Organization
Organization Name:CAPITAL SURGICAL SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-658-2019
Mailing Address - Street 1:9210 GLADYS FARM WAY
Mailing Address - Street 2:
Mailing Address - City:LAYTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20882-1421
Mailing Address - Country:US
Mailing Address - Phone:301-658-2019
Mailing Address - Fax:301-658-2018
Practice Address - Street 1:9210 GLADYS FARM WAY
Practice Address - Street 2:
Practice Address - City:LAYTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20882-1421
Practice Address - Country:US
Practice Address - Phone:301-658-2019
Practice Address - Fax:301-658-2018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD54682208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty