Provider Demographics
NPI:1336169051
Name:CAPUTO, LEONARD JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:JOSEPH
Last Name:CAPUTO
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 1:548 BOULEVARD PARK W
Mailing Address - Street 2:B
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-3406
Mailing Address - Country:US
Mailing Address - Phone:251-304-0042
Mailing Address - Fax:251-304-0262
Practice Address - Street 1:548 BOULEVARD PARK W
Practice Address - Street 2:B
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-3406
Practice Address - Country:US
Practice Address - Phone:251-304-0042
Practice Address - Fax:251-304-0262
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL8384207K00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC71146Medicare UPIN