Provider Demographics
NPI:1285908822
Name:CAPACIO, ELIZABETH WOESTMAN (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:WOESTMAN
Last Name:CAPACIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:305 SUMMERFIELD CT
Mailing Address - Street 2:
Mailing Address - City:JOPPA
Mailing Address - State:MD
Mailing Address - Zip Code:21085-4754
Mailing Address - Country:US
Mailing Address - Phone:410-538-4004
Mailing Address - Fax:410-671-6331
Practice Address - Street 1:305 SUMMERFIELD CT
Practice Address - Street 2:
Practice Address - City:JOPPA
Practice Address - State:MD
Practice Address - Zip Code:21085-4754
Practice Address - Country:US
Practice Address - Phone:410-538-4004
Practice Address - Fax:410-671-6331
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD46463207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine