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Individual
JAMES A. CACCITOLO
Active
Individual
JAMES A. CACCITOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
L7997
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121217
SUPERIOR CHIPS
TX
05
—
165486503
—
TX
01
—
88869G
BCBS OF TEXAS
TX
01
—
TIN PLUS 039
TRICARE
TX
01
—
TIN PLUS 049
TRICARE
TX
Enumeration date
07/31/2006
Last updated
11/06/2024
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