Individual
DR. JOSEPH J CAPISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
601 WILLIAMSBURG DR, BROOMALL, PA 19008-3428
(610) 353-2700
(610) 353-5528
Mailing address
601 WILLIAMSBURG DR, BROOMALL, PA 19008-3428
(610) 353-2700
(610) 353-5528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019364
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051555
UNITED CONCORDIA NON PART
PA
Enumeration date
05/18/2007
Last updated
07/08/2007
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