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Individual

MARY CAPUTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7655
(973) 926-3285
Mailing address
3100 SPRING FOREST RD, STE 130, RALEIGH, NC 27616-2880
(919) 882-0706
(919) 873-9821

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO1162280
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00366800
NJ

Other

Enumeration date
01/09/2012
Last updated
03/16/2017
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