Cavazos, Anthony R

Cavazos, Anthony R is an individual health care provider with primary practice located at 29 South St , New Providence NJ 07974-2934. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Cavazos, Anthony R can be contacted via phone (908) 679-8181.

Contact Information

Primary practice address
29 South St New Providence NJ 07974-2934
Phone: (908) 679-8181
Fax: (908) 679-8179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 25MA07124300 New Jersey
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 25MA07124300 New Jersey

Profile Details

NPI number 1104944263
LBN Legal business name Cavazos, Anthony R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 7th, 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 1104944263 NPPES
Other 5221142040 BCBS OF NJ
MEDICAID 0203343 BCBS OF NJ
Other 04-29599 BCBS OF NJ

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