Provider Demographics
NPI:1952595811
Name:CAPITAL CARDIOVASCULAR & THORACIC SURGERY ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:CAPITAL CARDIOVASCULAR & THORACIC SURGERY ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:STEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-270-2844
Mailing Address - Street 1:PO BOX 34470
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20827-0470
Mailing Address - Country:US
Mailing Address - Phone:301-270-2844
Mailing Address - Fax:301-270-4484
Practice Address - Street 1:10215 FERNWOOD RD
Practice Address - Street 2:SUITE 303
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1106
Practice Address - Country:US
Practice Address - Phone:301-270-2844
Practice Address - Fax:301-270-4484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD=========OtherHEALTH NET ID#
DCG02731Medicare PIN