Provider Demographics
NPI:1598219776
Name:CAPITAL WOMEN'S CARE, II
Entity type:Organization
Organization Name:CAPITAL WOMEN'S CARE, II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:REDD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-340-8339
Mailing Address - Street 1:11850 W MARKET PL
Mailing Address - Street 2:SUITE P
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2670
Mailing Address - Country:US
Mailing Address - Phone:301-340-8339
Mailing Address - Fax:301-340-9027
Practice Address - Street 1:11850 W MARKET PL
Practice Address - Street 2:SUITE P
Practice Address - City:FULTON
Practice Address - State:MD
Practice Address - Zip Code:20759-2670
Practice Address - Country:US
Practice Address - Phone:301-340-8339
Practice Address - Fax:301-340-9027
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPITAL WOMEN'S CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-05
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty