Individual
DR. THERESA M CAPUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5922
Mailing address
130 HARTFORD RD, MANCHESTER, CT 06040-5921
(860) 533-4673
(860) 812-0305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022902
CT
207R00000X
Internal Medicine Physician
22420
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001229020
—
CT
Enumeration date
03/14/2006
Last updated
03/10/2022
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