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Individual

DR. MICHELLE R CAPPUCCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1449 RARITAN RD, CLARK, NJ 07066-1266
(732) 388-2619
(732) 388-2960
Mailing address
1449 RARITAN RD, CLARK, NJ 07066-1266
(732) 388-2619
(732) 388-2960

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1742
SC
111N00000X
Chiropractor
Primary
MC4421
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
437710
ONE HEALTH PLAN
NJ
01
45-3216533
HEALING HANDS CHIROPRACTIC
NJ
Enumeration date
10/12/2006
Last updated
11/14/2023
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