Individual
EDWARD CAPOCCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4320 FIR ST UNIT 220, EAST CHICAGO, IN 46312-3076
(219) 703-2591
Mailing address
400 W 84TH DR, MERRILLVILLE, IN 46410-6248
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01085981A
IN
208800000X
Urology Physician
036152414
IL
208800000X
Urology Physician
125067811
IL
Other
Enumeration date
06/24/2015
Last updated
08/03/2021
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