Individual
DR. NICHOLAS A CAPOZZOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
122 DEFENSE HWY, SUITE 100, ANNAPOLIS, MD 21401-7069
(410) 263-9490
(410) 263-9593
Mailing address
122 DEFENSE HWY, SUITE 100, ANNAPOLIS, MD 21401-7069
(410) 263-9490
(410) 263-9593
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
DOO1668O
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E2380001
CAREFIRST BLUE SHIELD
DC
01
—
LL23NI
CAREFIRST BLUE SHIELD
MD
Enumeration date
02/05/2007
Last updated
07/09/2007
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