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Individual

RENATO M CAPPELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
633 CENTRAL AVE, EAST ORANGE, NJ 07018-1402
(973) 672-7246
Mailing address
633 CENTRAL AVE, EAST ORANGE, NJ 07018-1402
(973) 672-7246

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00643000
NJ
111N00000X
Chiropractor
XO11114-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02711984
NY
Enumeration date
05/19/2006
Last updated
12/11/2015
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