| Capital Center For Functional Medicine Llc | |
|
4701 Sangamore Rd Ste N270 Bethesda MD 20816-2528 | |
| (240) 507-5110 | |
| Not Available |
| Full Name | Capital Center For Functional Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4701 Sangamore Rd Ste N270, Bethesda, Maryland |
| Authorized Official Name and Position | Andrew Wong (FOUNDER AND MEDICAL DIRECTOR) |
| Authorized Official Contact | 3018922658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Center For Functional Medicine Llc 416 Green Pasture Dr Rockville MD 20852-4233 Ph: (301) 892-2658 | Capital Center For Functional Medicine Llc 4701 Sangamore Rd Ste N270 Bethesda MD 20816-2528 Ph: (240) 507-5110 |
| NPI Number | 1922496462 |
|---|---|
| Provider Enumeration Date | 01/07/2015 |
| Last Update Date | 12/06/2024 |
| Medicare PECOS PAC ID | 8820318520 |
|---|---|
| Medicare Enrollment ID | O20150520002003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922496462 | NPI | - | NPPES |
| 014051100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D66066 (Maryland) | Primary |
Leslie H Fenton Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6614 Melody Lane, Bethesda, MD 20817 Phone: 301-365-0266 Fax: 301-365-3253 | |
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6801 Rockledge Dr, Bethesda, MD 20817 Phone: 301-214-3132 Fax: 301-571-3167 | |
Johns Hopkins University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 Rockville Pike, Bethesda, MD 20889 Phone: 301-400-1382 | |
Privia Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5616 Shields Dr Ste 4000, Bethesda, MD 20817 Phone: 301-897-5522 | |
Montgomery Sports Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6931 Arlington Rd Ste 550, Bethesda, MD 20814 Phone: 301-754-0505 Fax: 301-754-0509 | |
Mindscape Psych, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Sangamore Rd Ste N100, Bethesda, MD 20816 Phone: 240-484-4226 | |
New Era Consultancy Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10419 Montrose Ave Apt 302, Bethesda, MD 20814 Phone: 346-433-9029 |