Individual
ESTELA V LACAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 SCHANCK RD, FREEHOLD, NJ 07728-2974
(732) 431-3373
(732) 303-0172
Mailing address
222 SCHANCK RD, FREEHOLD, NJ 07728-2974
(732) 431-3373
(732) 303-0172
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA69154
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7972202
—
NJ
Enumeration date
10/12/2005
Last updated
07/16/2010
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