Doctor Name: | GINA M CAPUTO |
NPI Number: | 1124464201 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | |
Business Practice Address: | 501 N Lansdowne Ave Drexel Hill, PA - 190261114 |
Business Phone Number: | 6102848230 |
Business Fax Number: | 6103941717 |
Mailing Address: | 3700 S Main St, BLACKSBURG |
State: | VA |
Postal Code: | 240607017 |
Phone Number: | 5409533528 |
Fax Number: | 5409535453 |
NPI Enumeration Date: | 05/16/2013 |
NPI Last Update Date: | 06/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |