Organization
HADDONFIELD RENAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P CAPELLI M.D. (OWNER)
(856) 428-3344
Entity
Organization
Contact information
Practice address
35 KINGS HWY E, HADDONFIELD, NJ 08033-2009
(856) 428-3344
(856) 428-4544
Mailing address
312 S HINCHMAN AVE, HADDONFIELD, NJ 08033
(856) 428-3344
(856) 428-4544
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA01950600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100771000
AMERIHEALTH
NJ
05
—
1117203
—
NJ
01
—
831418
CIGNA
NJ
Enumeration date
09/21/2010
Last updated
09/21/2010
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