Individual
DR. VINCENT CAPOSTAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 S COLUMBUS AVE, LITTLESTOWN, PA 17340-1439
(717) 359-5111
(717) 359-4620
Mailing address
2234 COLONIAL BLVD, MANAGED CARE DEPARTMENT, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD430192
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000214405
UNISON HEALTH PLANS
PA
01
—
0001
CAREFIRST BCBS
PA
01
—
0672037
CIGNA PROVIDER #
PA
05
—
1018655070001
—
PA
01
—
1461723
AETNA
PA
01
—
1937133
HIGHMARK BCBS PROV. #
PA
01
—
20057989
AMERIHEALTH MERCY
PA
01
—
905967-01
CAREFIRST BCBS
PA
01
—
905967-02
CAREFIRST BCBS
PA
01
—
P00652663
RAILROAD MEDICARE
PA
Enumeration date
11/22/2005
Last updated
02/02/2009
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