Healthcare Provider Details

I. General information

NPI: 1891946018
Provider Name (Legal Business Name): CAPITAL EAR GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2008
Last Update Date: 10/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 IRVING ST NW SUITE 4600-N
WASHINGTON DC
20010-2927
US

IV. Provider business mailing address

106 IRVING STREET, NW SUITE 4600-N
WASHINGTON DC
20010-2974
US

V. Phone/Fax

Practice location:
  • Phone: 202-726-8022
  • Fax: 202-882-9708
Mailing address:
  • Phone: 202-726-8022
  • Fax: 202-882-9708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS CHARLES FITZGERALD
Title or Position: PRESIDENT
Credential: M.D.
Phone: 202-726-8022