Individual
KELLY TERESA CAPASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
16 POCONO RD STE 110, DENVILLE, NJ 07834-2905
(973) 586-3700
(973) 586-8666
Mailing address
PO BOX 95000, PHILADELPHIA, PA 19195-7550
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26NJ00769800
NJ
363L00000X
Nurse Practitioner
26NJ00769800
NJ
Other
Enumeration date
01/11/2018
Last updated
02/11/2025
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