Individual
MA ELISA CAPITON SENUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 NJ-37, TOMS RIVER, NJ 08757
(732) 341-0880
Mailing address
14 KINSALE ST, TOMS RIVER, NJ 08757-4036
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40QA00512200
NJ
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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