Individual
DR. EDWIN L CAPULONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3004
(216) 844-1548
Mailing address
8055 MAYFIELD RD, STE 105, CHESTERLAND, OH 44026-2447
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
35.084735
OH
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
35.084735
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2495894
—
OH
Enumeration date
09/28/2005
Last updated
11/30/2017
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