| Paul Capobianco, Do, P.a. | |
|
75 State St 26th Fl Boston MA 02109 | |
| (516) 435-5260 | |
| Not Available |
| Full Name | Paul Capobianco, Do, P.a. |
|---|---|
| Speciality | Neuromusculoskeletal Medicine & OMM |
| Location | 75 State St, Boston, Massachusetts |
| Authorized Official Name and Position | Paul James Capobianco (PHYSICIAN) |
| Authorized Official Contact | 5164355260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Capobianco, Do, P.a. 1820 Ne Jensen Beach Blvd # 512 Jensen Beach FL 34957-7212 Ph: (516) 435-5260 | Paul Capobianco, Do, P.a. 75 State St 26th Fl Boston MA 02109 Ph: (516) 435-5260 |
| NPI Number | 1730879354 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 02/09/2026 |
| Medicare PECOS PAC ID | 4183083223 |
|---|---|
| Medicare Enrollment ID | O20230706004005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730879354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | (* (Not Available)) | Primary |
| Provider Name | Paul James Capobianco |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1578599528 PECOS PAC ID: 7214920453 Enrollment ID: I20230706003998 |
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