Individual
JOSEPH J CAPOBIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
590 COURT STREET, KEENE, NH 03431
(603) 354-5400
Mailing address
590 COURT STREET, KEENE, NH 03431
(603) 354-5400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0420006919
VT
207Q00000X
Family Medicine Physician
Primary
6592
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3075519
—
NH
05
—
82080371
—
NH
05
—
OVN0586
—
VT
Enumeration date
10/18/2005
Last updated
08/08/2018
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