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Individual

JOHN BATTISTA CAPUTO II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(800) 394-4445
(706) 650-1034
Mailing address
141 ASHMORE DR, BRIDGEPORT, WV 26330-9659
(304) 677-2444

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
58730
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1015497300001
PA
05
2601339000
WV
05
2663381
OH
05
405883600
MD
Enumeration date
06/14/2006
Last updated
10/01/2018
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