Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 25MA09037700 | NJ |
Y | 208600000X | Surgeon | 25MA09037700 | NJ |
N | 2082S0105X | Plastic Hand Surgeon | 25MA09037700 | NJ |
N | 2086S0105X | Surgery of the Hand | 25MA09037700 | NJ |
N | 2086S0122X | Plastic and Reconstructive Surgery | 25MA09037700 | NJ |
NPI | 1508064569 |
---|---|
Provider Name | Dr. Aaron Matthew Capuano |
First Address | Englewood Cliffs, NJ 07632-3040 |
Second Address | Englewood Cliffs, NJ 07632-3040 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2007 |
Last Update Date | 14/09/2012 |