Individual
DR. JUSTIN L CAPPIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
324 N DUKE ST, LANCASTER, PA 17603-4952
(717) 394-6808
(717) 299-4133
Mailing address
324 N DUKE ST, LANCASTER, PA 17602-4952
(717) 394-6808
(717) 299-4133
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
031932L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01154801
CAPITAL BLUE CROSS
PA
05
—
0726097
—
PA
01
—
563815
BLUE SHIELD
PA
Enumeration date
06/06/2006
Last updated
11/30/2010
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