Individual
JOSEPH DECAPUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 4 SILVERSTEIN, PHILADELPHIA, PA 19104-4206
(215) 662-2050
Mailing address
3624 MARKET STREET, SUITE 560W UPHS-OFFICE OF MEDICAL AFFAIRS,, PHILADELPHIA, PA 19104-2617
(215) 662-3958
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA02395700
NJ
208600000X
Surgery Physician
Primary
MD017139E
PA
Other
Enumeration date
09/16/2006
Last updated
07/02/2009
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