| |
1230 Bridge St, Lowell, MA 01850-1261 | |
(978) 452-2100 | |
(978) 446-0490 |
Full Name | |
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Type | Facility |
Speciality | Specialist |
Location | 1230 Bridge St, Lowell, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881891885 | NPI | - | NPPES |
9713182 | Medicaid | MA |
Provider Name | John G Capino |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1730147612 PECOS PAC ID: 3274438577 Enrollment ID: I20031201000240 |
Mailing Address | Practice Location Address |
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1230 Bridge St, Lowell, MA 01850-1261 Ph: (978) 452-2100 | 1230 Bridge St, Lowell, MA 01850-1261 Ph: (978) 452-2100 |