Jay Servando Antioquia Capunitan M.D.

NPI 1619155645 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1619155645
Gender Male
Enumeration Date 01/31/2008
Last Updated 01/10/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
63 MAIN ST
BROCKTON MA, 02301-4042, US
Phone (508) 559-6699
Fax (508) 559-5073
Business Location
63 MAIN ST
BROCKTON MA, 02301-4042, US
Phone (508) 559-6699
Fax (508) 559-5073
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Jay Servando Antioquia Capunitan M.D. NPI is 1619155645, taxonomy code is 390200000X Jay Servando Antioquia Capunitan M.D. physically located at 63 Main St, Brockton MA, 02301-4042. NPI Number Jay Servando Antioquia Capunitan M.D. has the Individual type.

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1619155645 NPI number is provided on an as is basis without warranty of any kind. 1619155645 is maintained by the National Plan & Provider Enumeration System. The contents of Jay Servando Antioquia Capunitan M.D. are for informational purposes only.