Individual provider · NPI-1

Dr. Antonio Capone Jr., MD

Ophthalmology, Retina Specialist · Royal Oak, MI

NPI number1760411664
StatusActive
Last updated in NPPESAug 3, 2020

Details

NPI
1760411664
Entity type
Individual (NPI-1)
Name
Dr. Antonio Capone Jr.
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 2, 2006
Certification date
Aug 3, 2020
Last updated
Aug 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207WX0107X Ophthalmology, Retina Specialist4301075697MIYes
207W00000X Ophthalmology4301075697MI

Practice location

3555 W 13 Mile Rd
Ll-20
Royal Oak, MI 48073-6710

Phone 248-288-2280 · Fax 248-288-5644

Mailing address

39650 Orchard Hill Pl
200
Novi, MI 48375-5391

Phone 248-319-0161 · Fax 248-319-0170

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