Provider Demographics
NPI:1942645106
Name:CAPPELLUZZO, VINCENT POMPEO (MD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:POMPEO
Last Name:CAPPELLUZZO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 FOXHALL RD
Mailing Address - Street 2:
Mailing Address - City:PIKE ROAD
Mailing Address - State:AL
Mailing Address - Zip Code:36064-3405
Mailing Address - Country:US
Mailing Address - Phone:334-270-3235
Mailing Address - Fax:
Practice Address - Street 1:337 FOXHALL RD
Practice Address - Street 2:
Practice Address - City:PIKE ROAD
Practice Address - State:AL
Practice Address - Zip Code:36064-3405
Practice Address - Country:US
Practice Address - Phone:334-270-3235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALACSC00003162208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery