Individual
BENEDICT ANTHONY CAPACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(443) 299-9875
Mailing address
525 E 68TH ST # M-404, NEW YORK, NY 10065-4870
(443) 299-9875
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101268205
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/19/2018
Last updated
06/27/2025
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