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Organization

JAMES R. CAPUTO M.D.P.C.

Active
Other names
The Good Life Centre for Women
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES RICHARD CAPUTO M.D. (PRESIDENT)
(315) 475-8599
Entity
Organization

Contact information

Practice address
739 IRVING AVE, SUITE 300, SYRACUSE, NY 13210-1640
(315) 475-8599
(315) 475-8577
Mailing address
739 IRVING AVE, SUITE 300, SYRACUSE, NY 13210-1640
(315) 475-8599
(315) 475-8577

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
206065-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01766036
NY
Enumeration date
09/20/2006
Last updated
11/15/2007
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