Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD420736 | PA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD420736 | PA |
N | 207RI0011X | Interventional Cardiology | MD420736 | PA |
NPI | 1437185584 |
---|---|
Provider Name | Thomas Cappola |
First Address | Philadelphia, PA 19104 |
Second Address | Philadelphia, PA 19104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 13/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H07100 | (02) |