Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | A148140 | CA |
NPI | 1306133699 |
---|---|
Provider Name | Dr. Nicholas Manes Caggiano |
First Address | San Luis Obispo, CA 93405-3701 |
Second Address | San Luis Obispo, CA 93405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2011 |
Last Update Date | 11/06/2019 |