Individual
CLINT DANIEL CAPPIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST, GENERAL SURGERY, N4E29, BALTIMORE, MD 21201-1544
(410) 328-4089
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D73441
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D73441
LICENSE
MD
Enumeration date
05/26/2009
Last updated
07/27/2021
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