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Individual

WAYNE J CAPUTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
5 FRANKLIN AVE, SUITE 103, BELLEVILLE, NJ 07109-3532
(973) 751-7752
(973) 450-4577
Mailing address
18 PHYLLIS LN, FAIRFIELD, NJ 07004-2319

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00143100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1708201
NJ
Enumeration date
04/05/2006
Last updated
10/16/2018
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