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NPI Code Detail

MEDICARE: PETER JOSEPH CAPIZZI M.D.

MEDICARE:   PETER JOSEPH CAPIZZI  M.D.
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
1208200000XPlastic Surgery Physician76196NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110329OTHERNCBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154386837
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER JOSEPH CAPIZZI M.D.
Provider Business Mailing Address
First Line : 5924 MARSAILLES CT
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-2595
Country : US
Telephone Number : 704-540-9057
Fax Number : 704-540-2276
Provider Business Practice Location Address
First Line : 8712 LINDHOLM DR
Second Line : SUITE 308
City : HUNTERSVILLE
State : NC
Zip : 28078-1870
Country : US
Telephone Number : 704-655-8988
Fax Number : 704-655-8980
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 11/11/2008

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Directions to “ PETER JOSEPH CAPIZZI M.D.” Practice Location

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