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NPI Code Detail

MEDICARE: CHRISTOPHER J CAGGIANO SR. PA-C, MPAS

MEDICARE: CHRISTOPHER J CAGGIANO SR. PA-C, MPAS
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
1363A00000XPhysician Assistant102355NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639193196
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER J CAGGIANO SR. PA-C, MPAS
Provider Business Mailing Address
First Line : 56 QUIET CV
Second Line :
City : CONCORD
State : NC
Zip : 28027-7735
Country : US
Telephone Number : 704-786-1885
Fax Number : 704-933-5954
Provider Business Practice Location Address
First Line : 1035 DALE EARNHARDT BLVD
Second Line :
City : KANNAPOLIS
State : NC
Zip : 28083-4477
Country : US
Telephone Number : 704-933-2266
Fax Number : 704-933-5954
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 07/08/2007

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