Provider Demographics
NPI:1891946018
Name:CAPITAL EAR GROUP, LLC
Entity Type:Organization
Organization Name:CAPITAL EAR GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:FITZGERALD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-726-8022
Mailing Address - Street 1:106 IRVING STREET, NW
Mailing Address - Street 2:SUITE 4600-N
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2974
Mailing Address - Country:US
Mailing Address - Phone:202-726-8022
Mailing Address - Fax:202-882-9708
Practice Address - Street 1:106 IRVING ST NW
Practice Address - Street 2:SUITE 4600-N
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2927
Practice Address - Country:US
Practice Address - Phone:202-726-8022
Practice Address - Fax:202-882-9708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & NeurotologyGroup - Single Specialty