Individual
DR. TONY RICHARD CAPIZZANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-5245
(440) 449-1101
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(440) 449-1101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301093139
MI
2086S0102X
Surgical Critical Care Physician
Primary
35096212
OH
2086S0102X
Surgical Critical Care Physician
4301093139
MI
2086S0120X
Pediatric Surgery Physician
4301093139
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3102510
—
OH
Enumeration date
07/13/2007
Last updated
08/24/2022
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