Cavan, Clodoveo

Cavan, Clodoveo is an individual health care provider with primary practice located at 175 Madison Ave , Mount Holly NJ 08060-2038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cavan, Clodoveo can be contacted via phone (609) 914-6180.

Contact Information

Primary practice address
175 Madison Ave Mount Holly NJ 08060-2038
Fax: (609) 914-6182
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA04243000 New Jersey

Profile Details

NPI number 1750379806
LBN Legal business name Cavan, Clodoveo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Oct 19th, 2020 - about 5 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 1750379806 NPPES
New Jersey MEDICAID 3947301

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