Randolph Martin Capocasale MD

NPI 1053393314 - Counselor - 101Y00000X

NPI Details
NPI 1053393314
Gender Male
Enumeration Date 11/14/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1061 HARMON AVE
1DO3
FT STEWART GA, 31314-5604, US
Phone (912) 435-6123
Fax (912) 435-6053
Business Location
1061 HARMON AVE
1DO3
FT STEWART GA, 31314-5604, US
Phone (912) 435-6123
Fax (912) 435-6053
Toxanomy
Taxonomy Code 101Y00000X
License State Georgia
License Number 03929
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According to our database, Dr. Randolph Martin Capocasale MD NPI is 1053393314, taxonomy code is 101Y00000X and license number is 03929, license state is located at Georgia. Randolph Martin Capocasale MD physically located at 1061 Harmon Ave, Ft Stewart GA, 31314-5604. NPI Number Randolph Martin Capocasale MD has the Individual type.

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1053393314 NPI number is provided on an as is basis without warranty of any kind. 1053393314 is maintained by the National Plan & Provider Enumeration System. The contents of Randolph Martin Capocasale MD are for informational purposes only.