Individual
EDMUND F CAPORASO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1567 E MAIN ST, WATERBURY, CT 06705-1026
(203) 597-9778
(203) 757-0367
Mailing address
1567 E MAIN ST, WATERBURY, CT 06705-1026
(203) 597-9778
(203) 757-0367
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0262476
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1262476
—
CT
Enumeration date
10/19/2005
Last updated
01/14/2010
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