Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | H88692 | MD |
N | 2080N0001X | Neonatal-Perinatal Doctor | OS019399 | PA |
NPI | 1013277441 |
---|---|
Provider Name | Christine Capriolo |
First Address | Baltimore, MD 21201-1644 |
Second Address | Baltimore, MD 21201-1544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2012 |
Last Update Date | 23/03/2020 |