| Nicholas Capozzoli & Peter Schilder, Md, Pa | |
|
122 Defense Hwy Suite 100 Annapolis MD 21401-7069 | |
| (410) 263-9490 | |
| (410) 263-9593 |
| Full Name | Nicholas Capozzoli & Peter Schilder, Md, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 122 Defense Hwy, Annapolis, Maryland |
| Authorized Official Name and Position | Nicholas A Capozzoli (PRESIDENT) |
| Authorized Official Contact | 4102639490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Capozzoli & Peter Schilder, Md, Pa 122 Defense Hwy Suite 100 Annapolis MD 21401-7069 Ph: (410) 263-9490 | Nicholas Capozzoli & Peter Schilder, Md, Pa 122 Defense Hwy Suite 100 Annapolis MD 21401-7069 Ph: (410) 263-9490 |
| NPI Number | 1598804957 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 07/08/2010 |
| Medicare PECOS PAC ID | 0345347019 |
|---|---|
| Medicare Enrollment ID | O20070515000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598804957 | NPI | - | NPPES |
| E2380001 | Other | DC | CAREFIRST BLUE SHIELD |
| LL23NI | Other | MD | CAREFIRST BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | DOO1668O (Maryland) | Primary |
| Provider Name | Nicholas A Capozzoli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871632232 PECOS PAC ID: 8426951245 Enrollment ID: I20040129000658 |
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