Domiciano V Capitly, MD
Domiciano V Capitly, MD is an Internal Medicine Physician in South Plainfield, New Jersey. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1907 Park Ave Ste 203South Plainfield, NJ 07080-5530
Phone: (908) 561-3934
Fax: (908) 561-6881
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|
Record details
| NPI number | 1609087451 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Domiciano Capitly — Medical Doctor · (908) 561-3934 |
| Other names | Park Avenue Primary Medical |
| NPI enumerated | May 24, 2007 |
| Last updated in NPPES | October 11, 2013 |
| Mailing address | 1907 Park Ave, Suite 203, South Plainfield, NJ 07080-5530 |
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