Individual
DEBORAH MARIE CAPKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
136 MOUNTAIN VIEW BLVD, BASKING RIDGE, NJ 07920-3444
(908) 542-3000
Mailing address
633 3RD AVE, BOX 3, NEW YORK, NY 10017-6706
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
MA56226
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7220405
—
NJ
01
—
75-3125078
FEDERAL TAX ID
NJ
Enumeration date
07/10/2006
Last updated
02/25/2010
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