Individual
GEOFFREY CAPRARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903-4923
(401) 854-2504
(401) 854-2519
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
206326
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD13447
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-13-2011
NHPRI
RI
01
—
03-22-2011
TUFTS HEALTH PLAN
MA
05
—
110003340
—
MA
01
—
12-24-2010
BCBSRI
RI
01
—
939025129
GROUP - RI MEDICARE
RI
01
—
A3266902
RI MEDICARE
RI
05
—
GC58663
—
RI
Enumeration date
10/06/2006
Last updated
09/17/2013
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