Provider Demographics
NPI:1538264999
Name:CAPISTA, FRANCIS E (DO)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:E
Last Name:CAPISTA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 DARBY RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-3629
Mailing Address - Country:US
Mailing Address - Phone:610-853-2023
Mailing Address - Fax:610-449-5136
Practice Address - Street 1:1120 DARBY RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-3629
Practice Address - Country:US
Practice Address - Phone:610-853-2023
Practice Address - Fax:610-449-5136
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-004107L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB39783Medicare UPIN