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NPI Code Detail

MEDICARE: MR. SAMUEL N CAOILE M.D.

MEDICARE: MR. SAMUEL N CAOILE 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
1207Q00000XFamily Medicine Physician0101243741VA
2171000000XMilitary Health Care Provider0101243741VA

General Provider Information

NPI Number : 1467488676
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SAMUEL N CAOILE M.D.
Provider Business Mailing Address
First Line : 613 ROYAL PALM DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-3730
Country : US
Telephone Number : 619-606-8040
Fax Number :
Provider Business Practice Location Address
First Line : 1721 ADMIRAL TAUSSIG BLVD
Second Line :
City : NORFOLK
State : VA
Zip : 23511-2802
Country : US
Telephone Number : 757-953-8869
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 08/24/2023

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