Doctor Name: | DR. LANCE F CAFFIERO |
NPI Number: | 1083722649 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM PA |
License Number: | 01299 |
Business Practice Address: | 14999 Health Center Dr Suite 202 Bowie, MD - 207161074 |
Business Phone Number: | 3012621171 |
Business Fax Number: | 3012627483 |
Mailing Address: | 14999 Health Center Dr, Suite 202 BOWIE |
State: | MD |
Postal Code: | 207161074 |
Phone Number: | 3012621171 |
Fax Number: | 3012627483 |
NPI Enumeration Date: | 08/25/2006 |
NPI Last Update Date: | 04/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 01299 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |