Angelo Capozzoli in Tucker - Nutrition, Renal
Angelo Capozzoli - NPI 1235179797
Angelo Capozzoli is a Nutrition, Renal in Tucker, Georgia. Angelo Capozzoli practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Angelo Capozzoli is 1235179797. The last update date is 2007-10-23.
Angelo Capozzoli's current location address is 1462 Montreal Rd, Tucker, Georgia. You can contact this provider via phone number 7706745458 and fax number 7706741871. The mailing address for Angelo Capozzoli is 1462 Montreal Rd, Tucker, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angelo Capozzoli |
|---|---|
| Address | 1462 Montreal Rd, Tucker, Georgia |
| Phone Number | 7706745458 |
| Fax Number | 7706741871 |
| Sole Proprietor | N |
| Credentials | RD, CSR, L |
NPI Number Detail
| NPI Number | 1235179797 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2007-10-23 |
Provider Mailing Address Detail
| Address | 1462 Montreal Rd |
|---|---|
| City | Tucker |
| State | Georgia (GA) |
| Post Code | 300846929 |
| Phone Number | 7706745458 |
| Fax Number | 7706741871 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Renal |
|---|---|
| Taxonomy | 133Vn1005X |
| Licence No | LD001724 |
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Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
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What is the unique 10-digit identifier code assigned to Angelo Capozzoli by the Centers for Medicare & Medicaid Services?
The Angelo Capozzoli has been issued the NPI (National Provider Identifier) 1235179797 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Angelo Capozzoli is located?
The Angelo Capozzoli is situated at the following address: 1462 Montreal Rd, Tucker, GA, 300846929.
What is Angelo Capozzoli's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Angelo Capozzoli is Nutrition, Renal, and the taxonomy classification code that categorizes this area of expertise is 133Vn1005X.
On what date did Angelo Capozzoli receive its 1235179797 assignment from the Centers for Medicare & Medicaid Services?
The Angelo Capozzoli was assigned its 1235179797 on 2006-06-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Angelo Capozzoli most recently updated or revised?
The information pertaining to Angelo Capozzoli, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-23.