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By Michael San Filippo. The origins of Italian surnames vary. Many are derived from the names of people, places, professions, or nicknames, and most originated in the Middle Ages, when the practice largely started.Frequently, the geographical origin of a person can be deduced from his last name, since certain endings are characteristic of certain regions.any are derived from the names of people, places, professions, or nicknames, and most originated in the Middle Ages, when the practice largely started. Frequently, the geographical origin of a person can be deduced from his last name, since certain endings are characteristic of certain regions.
Of locative origin, from the name of towns in Spain and Italy (there are two near Milan in northern Italy: Busto Arsizio and Busto Garolfo, colloquially called Busto Grande large Busto and Bustino little Busto) ...[more]. CAIAZZO Italian. From the place name Caiazzo, a little city near Naples.LTAMURA Italian. From the place name Altamura in Italy. ALTIMARI Italian. Derived from the given name Altimaro, a cognate of ELMER. ALTOVITI Italian. Means son of Altovito from the Lombard name Altowido. ALUNNI Italian. Means student from Latin alunni. AMADEI Italian. Means son of AMADEO .