Individual
MATTHEW DECAPRIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(203) 694-8200
Mailing address
435 LEWIS AVE, MERIDEN, CT 06451-2101
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4609
CT
Other
Enumeration date
08/13/2019
Last updated
10/07/2019
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