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:
Health care specialties
Specialty | Code | License # | 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 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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