Provider Demographics
NPI:1194925248
Name:CAPELLI, LINDA (PA-C, MS)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:CAPELLI
Suffix:
Gender:F
Credentials:PA-C, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 ROUTE 73 N STE B
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-2034
Mailing Address - Country:US
Mailing Address - Phone:856-222-9713
Mailing Address - Fax:856-222-9714
Practice Address - Street 1:901 ROUTE 73 N STE B
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2034
Practice Address - Country:US
Practice Address - Phone:856-222-9713
Practice Address - Fax:856-222-9714
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00179000363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant