Healthcare Provider Details

I. General information

NPI: 1619714490
Provider Name (Legal Business Name): CAPITAL CARE ANESTHESIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2024
Last Update Date: 07/18/2024
Certification Date: 07/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8028 RITCHIE HWY STE 100
PASADENA MD
21122-1020
US

IV. Provider business mailing address

1403 PADDOCKS CT
CROWNSVILLE MD
21032-1453
US

V. Phone/Fax

Practice location:
  • Phone: 443-274-2900
  • Fax: 443-274-2589
Mailing address:
  • Phone: 443-274-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT ZAREMSKI
Title or Position: PRESIDENT
Credential: MD
Phone: 443-274-2900