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NPI Code Detail

MEDICARE: CHRISTOPHER STEPHEN CAPOGNA MPT, ATC, CSCS

MEDICARE: CHRISTOPHER STEPHEN CAPOGNA MPT, ATC, CSCS
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
1225100000XPhysical Therapist7286CT

General Provider Information

NPI Number : 1326024225
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER STEPHEN CAPOGNA MPT, ATC, CSCS
Provider Business Mailing Address
First Line : 2408 WHITNEY AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3209
Country : US
Telephone Number : 203-626-0160
Fax Number : 203-294-6734
Provider Business Practice Location Address
First Line : 330 BRIDGEPORT AVE
Second Line :
City : SHELTON
State : CT
Zip : 06484-3861
Country : US
Telephone Number : 203-538-0021
Fax Number : 203-466-8527
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 04/23/2021

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