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Individual

ROBERT A CAPONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 SPRINGFIELD AVENUE, 3RD FLOOR, SUMMIT, NJ 07901
(908) 934-0555
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA04222000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
290007708
RAILROAD MEDICARE
NJ
Enumeration date
08/10/2005
Last updated
02/10/2017
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