Healthcare Provider Details

I. General information

NPI: 1881846749
Provider Name (Legal Business Name): MICHELLE LEE CAPORALETTI D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2008
Last Update Date: 10/26/2022
Certification Date: 10/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 WELSH RD STE 104
HORSHAM PA
19044-2248
US

IV. Provider business mailing address

223 WILMINGTON W CHESTER PIKE STE 214
CHADDS FORD PA
19317-9007
US

V. Phone/Fax

Practice location:
  • Phone: 844-365-7246
  • Fax: 844-516-0080
Mailing address:
  • Phone: 844-365-7246
  • Fax: 610-361-7956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberOS014579
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberOS014579
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: