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NPI Code Detail

MEDICARE: CAITLIN MARIA DEPAULO

MEDICARE: CAITLIN MARIA DEPAULO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner26NJ01295100NJ

General Provider Information

NPI Number : 1952044265
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN MARIA DEPAULO
Provider Business Mailing Address
First Line : 24 HAMPTON CT
Second Line :
City : MATAWAN
State : NJ
Zip : 07747-6845
Country : US
Telephone Number : 646-385-5863
Fax Number :
Provider Business Practice Location Address
First Line : 354 SOUTH AVE E
Second Line :
City : WESTFIELD
State : NJ
Zip : 07090-1788
Country : US
Telephone Number : 908-233-8065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2022
Last Update Date : 01/05/2024

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Directions to “ CAITLIN MARIA DEPAULO ” Practice Location

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