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NPI Code Detail

MEDICARE: CAPRICORN HEALTH LLC

MEDICARE: CAPRICORN HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QA0401XAddiction Medicine (Family Medicine) Physician

General Provider Information

NPI Number : 1730982125
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAPRICORN HEALTH LLC
Provider Business Mailing Address
First Line : 101 CHESAPEAKE BLVD STE B
Second Line :
City : ELKTON
State : MD
Zip : 21921-6607
Country : US
Telephone Number : 410-398-0590
Fax Number :
Provider Business Practice Location Address
First Line : 2327 PULASKI HWY
Second Line :
City : NORTH EAST
State : MD
Zip : 21901-3706
Country : US
Telephone Number : 410-398-0590
Fax Number : 443-406-3838
Authorized Official
Title or Position : MANAGING MEMBER
Name : DR. CHRISTOPHER GELMANN
Credential : MD
Telephone Number : 443-553-0057
Provider Enumeration Date : 03/31/2025
Last Update Date : 03/31/2025

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Directions to “CAPRICORN HEALTH LLC ” Practice Location

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