Individual
DR. JOEL B CAPUCAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 S. BRYN MAWR AVE, PSYCHIATRIC UNIT, BRYN MAWR, PA 19010-3121
(484) 337-4286
(484) 337-4293
Mailing address
130 S. BRYN MAWR AVE, PSYCHIATRIC UNIT, BRYN MAWR, PA 19010-3121
(484) 337-4286
(484) 337-4293
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD069783L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021248410002
—
PA
Enumeration date
02/27/2007
Last updated
01/13/2012
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