Basic Information
| Provider Information | |||||||||
| NPI: | 1730317124 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CAPONE | ||||||||
| FirstName: | RALPH | ||||||||
| MiddleName: | A. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1751 EARL L CORE RD | ||||||||
| Address2: | |||||||||
| City: | MORGANTOWN | ||||||||
| State: | WV | ||||||||
| PostalCode: | 265055891 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 12120 STATE ROUTE 30 | ||||||||
| Address2: | SUITE 40 | ||||||||
| City: | NORTH HUNTINGDON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 156421840 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7248634362 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/24/2009 | ||||||||
| LastUpdateDate: | 06/24/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD022529E | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.