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Individual

STAMATINA KAPTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
97 W PARKWAY, DEPT. OF PATHOLOGY, POMPTON PLAINS, NJ 07444-1647
(973) 831-5046
(973) 831-5194
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 648-2065

Taxonomy

Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
25MA07290100
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA07290100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8663301
NJ
01
P00256190
RAILROAD MEDICARE
NJ
Enumeration date
11/22/2005
Last updated
01/20/2011
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