Provider Demographics
NPI:1043094402
Name:CAPITOL INFUSION CENTER INC
Entity type:Organization
Organization Name:CAPITOL INFUSION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:MANUELA
Authorized Official - Last Name:BASARAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-387-6697
Mailing Address - Street 1:2 WISCONSIN CIR STE 630
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-7058
Mailing Address - Country:US
Mailing Address - Phone:941-387-6697
Mailing Address - Fax:
Practice Address - Street 1:2 WISCONSIN CIR STE 630
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-7058
Practice Address - Country:US
Practice Address - Phone:941-387-6697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-24
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Multi-Specialty