Provider Demographics
NPI:1629041850
Name:CAPUTO, ENZA P (MD)
Entity Type:Individual
Prefix:DR
First Name:ENZA
Middle Name:P
Last Name:CAPUTO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:22 N FRANKLIN BLVD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08232-2547
Mailing Address - Country:US
Mailing Address - Phone:609-272-0655
Mailing Address - Fax:609-272-9317
Practice Address - Street 1:22 N FRANKLIN BLVD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:PLEASANTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08232-2547
Practice Address - Country:US
Practice Address - Phone:609-272-9040
Practice Address - Fax:609-272-9055
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2014-09-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA06431200208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0169277Medicaid
NJ2K5183OtherHEALTHNET
NJP1655647OtherOXFORD
NH223360408-075OtherQUALCARE
NJ0169277Medicaid