Healthcare Provider Details

I. General information

NPI: 1770532806
Provider Name (Legal Business Name): GREGORY M CAPUTO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 01/11/2026
Certification Date: 10/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 HOPE DR STE 104
HERSHEY PA
17033-2086
US

IV. Provider business mailing address

PO BOX 858 MC A410
HERSHEY PA
17033-0858
US

V. Phone/Fax

Practice location:
  • Phone: 800-243-1455
  • Fax: 717-531-0151
Mailing address:
  • Phone: 800-243-1455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD027317E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD027317E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: