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Individual

VIRGINIA A CAPASSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
55 FRUIT STREET, MGH VASCULAR SURGERY FND 645, BOSTON, MA 02114
(617) 726-3836
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIANS ORGANIZATION INC, CHARLESTOWN, MA 02129-9142
(617) 724-0287

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
137302
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0356221
MA
01
NP3180
BCBS OF MASS
Enumeration date
11/29/2006
Last updated
07/08/2007
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