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Individual

DEAN KAPETANAKIS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
60 WALNUT AVE, SUITE 150, CLARK, NJ 07066-1649
(732) 340-1012
(908) 237-0001
Mailing address
4 WALTER FORAN BLVD, SUITE 203, FLEMINGTON, NJ 08822-4664
(908) 237-0000
(908) 237-0001

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA00755100
NJ

Other

Enumeration date
04/26/2006
Last updated
07/08/2007
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