Individual
RAFFI KAPITANYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 RWJ PLACE, EMERGENCY DEPARTMENT, NEW BRUNSWICK, NJ 08903
(732) 828-3000
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MA08017100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101435
—
NJ
Enumeration date
07/02/2006
Last updated
02/05/2008
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