Cacace, John

Cacace, John is an individual health care provider with primary practice located at 267 Grant St , Bridgeport CT 06610-2805. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Cacace, John can be contacted via phone (203) 384-4490.

Contact Information

Primary practice address
267 Grant St Bridgeport CT 06610-2805
Phone: (203) 384-4490
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 036537 Connecticut
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 29217 South Carolina

Profile Details

NPI number 1891714689
LBN Legal business name Cacace, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Apr 30th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891714689 NPPES
South Carolina MEDICAID 292178

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