Provider Demographics
NPI:1770941361
Name:CAPORASO, NEIL (MD)
Entity type:Individual
Prefix:
First Name:NEIL
Middle Name:
Last Name:CAPORASO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1 SHILLING CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-2034
Mailing Address - Country:US
Mailing Address - Phone:240-463-5571
Mailing Address - Fax:240-276-7837
Practice Address - Street 1:9609 MEDICAL CENTER DR
Practice Address - Street 2:ROOM 6E410
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3330
Practice Address - Country:US
Practice Address - Phone:240-276-7228
Practice Address - Fax:240-276-7837
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0031749207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology