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Individual

DR. RICHARD S CAPACIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1837 S 2ND STREET, PHILADELPHIA, PA 19148
(215) 468-6800
(215) 468-6801
Mailing address
410 TIMBER CIRCLE, WAYNE, PA 19087-2358
(215) 468-6800
(215) 468-6801

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002723L
PA
111NX0800X
Orthopedic Chiropractor
DC002723L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01131437
PA
01
271474
BLUE CROSS BLUE SHIELD
PA
Enumeration date
07/26/2005
Last updated
06/11/2008
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