Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 01299 | MD |
NPI | 1083722649 |
---|---|
Provider Name | Dr. Lance F Caffiero |
First Address | Bowie, MD 20716-3137 |
Second Address | Bowie, MD 20716-1074 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 24/01/2019 |