Individual
MICHAEL CAPONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
402 E MAIN ST, WATERBURY OP ADULT SERVICES, WATERBURY, CT 06702-1701
(203) 755-1143
(203) 753-3274
Mailing address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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