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NPI Code Detail

MEDICARE: JOHN CAPINO, MD PC

MEDICARE: JOHN CAPINO, MD PC
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
1152W00000XOptometrist57517MA
2156FX1800XOptician57517MA
3174400000XSpecialist57517MA

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 : 1881891885
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN CAPINO, MD PC
Provider Business Mailing Address
First Line : 1230 BRIDGE ST
Second Line :
City : LOWELL
State : MA
Zip : 01850-1261
Country : US
Telephone Number : 978-452-2100
Fax Number : 978-446-0490
Provider Business Practice Location Address
First Line : 1230 BRIDGE ST
Second Line :
City : LOWELL
State : MA
Zip : 01850-1261
Country : US
Telephone Number : 978-452-2100
Fax Number : 978-446-0490
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN CAPINO
Credential : M.D.
Telephone Number : 978-452-2100
Provider Enumeration Date : 07/02/2007
Last Update Date : 11/08/2010

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