Marc J Capra

Individual provider Active NPI Other Technician · Washington, DC

NPI 1659409167 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1659409167
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
Uscg Comdt (CG-1122)
2100 2ND St SW Suite 5314
Washington, DC 20593
Phone
(202) 475-5182
Fax
(202) 267-4685
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Yes

Addresses

Primary practice location

Uscg Comdt (CG-1122)
2100 2ND St SW Suite 5314
Washington, DC 20593

Mailing address

Uscg Comdt (CG-1122)
2100 2ND St SW Suite 5314
Washington, DC 20593
Phone (202) 475-5182

Other providers in Washington, DC

All providers in Washington, DC · Other Technician in District of Columbia

Sources for this page

Verify at the official NPI Registry.