Individual
DR. JUSTIN CAPOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 GROVE ST STE 14-2, MONTCLAIR, NJ 07042-4051
(973) 671-8535
Mailing address
105 GROVE ST STE 14-2, MONTCLAIR, NJ 07042-4051
(973) 671-8535
(973) 695-3633
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
25MA09387600
NJ
2084P0015X
Psychosomatic Medicine Physician
62370
MN
2084P0800X
Psychiatry Physician
62370
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629380043
NPI
—
Enumeration date
07/14/2010
Last updated
01/02/2023
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