Healthcare Provider Details

I. General information

NPI: 1952370140
Provider Name (Legal Business Name): MICHAEL S CAPLAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 02/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1990 OLD BRIDGE RD STE 101
WOODBRIDGE VA
22192
US

IV. Provider business mailing address

1500 N BEAUREGARD ST STE 200
ALEXANDRIA VA
22311-1723
US

V. Phone/Fax

Practice location:
  • Phone: 703-491-4131
  • Fax: 703-491-4419
Mailing address:
  • Phone: 703-436-1215
  • Fax: 703-499-9670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number101233277
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: