| Domiciano V. Capitly, M.d. | |
|
1907 Park Ave Suite 203 South Plainfield NJ 07080-5530 | |
| (908) 561-3934 | |
| (908) 561-6881 |
| Full Name | Domiciano V. Capitly, M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1907 Park Ave, South Plainfield, New Jersey |
| Authorized Official Name and Position | Domiciano V Capitly (MEDICAL DOCTOR) |
| Authorized Official Contact | 9085613934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Domiciano V. Capitly, M.d. 1907 Park Ave Suite 203 South Plainfield NJ 07080-5530 Ph: (908) 561-3934 | Domiciano V. Capitly, M.d. 1907 Park Ave Suite 203 South Plainfield NJ 07080-5530 Ph: (908) 561-3934 |
| NPI Number | 1609087451 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 10/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609087451 | NPI | - | NPPES |
| 0722804 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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