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General NPI Number Information
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NPI Number | 1538371737
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Entity Type | Organization
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Legal Business Name | CAPITAL MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 1235 WHITEHORSE MERCERVILLE RD SUITE 306
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City | HAMILTON
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State | NJ
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Zip | 08619-3810
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Country | US
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Telephone | 609-587-3003
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Fax | 609-587-4512
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Provider Business Mailing Address
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Address Line | 1235 WHITEHORSE MERCERVILLE RD SUITE 306
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City | HAMILTON
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State | NJ
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Zip | 08619-3810
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Country | US
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Telephone | 609-587-3003
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Fax | 609-587-4512
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ANGELA R LEARY
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Credential |
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Telephone | 609-587-3003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 25MA02992000
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License Number State | NJ
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