# MARY DAISY CANTEY MD CAROLINA MEDICAL ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366827313
- **Authorized official:** MS. MARY DAISY CANTEY MD (OWNER)
- **Authorized official phone:** (973) 532-7898

## Contact information

- **Practice address:** 312 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2502
- **Practice address phone:** (973) 532-7898
- **Practice address fax:** (973) 821-5999
- **Mailing address:** 312 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2502
- **Mailing address phone:** (973) 532-7898
- **Mailing address fax:** (973) 821-5999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA07425300 | NJ | Yes |
| 208000000X | Pediatrics Physician | 25MA07425300 | NJ | — |

## Other

- **Enumeration date:** 07/20/2015
- **Last updated:** 08/18/2015