Individual provider · Type 1 NPI

Mara Lee Cappelloni, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1245428754 Active

Practice location

3400 Spruce St, 3 Silverstein
Philadelphia, PA 19104-4238

Fax (215) 349-5534

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA054517 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1245428754

Mara Lee Cappelloni, PA-C's National Provider Identifier is 1245428754, issued on Oct 10, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 16, 2026.