# PERCIVAL A CABALLERO MD PA

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

## Provider details

- **NPI number:** 1982921219
- **Authorized official:** DR. PERCIVAL A CABALLERO MD (OWNER)
- **Authorized official phone:** (973) 492-2900

## Contact information

- **Practice address:** 15 KIEL AVE, SUITE 101, KINNELON, NJ 07405-2565
- **Practice address phone:** (973) 492-2900
- **Mailing address:** 15 KIEL AVE, SUITE 101, KINNELON, NJ 07405-2565
- **Mailing address phone:** (973) 492-2900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 25MA02992900 | NJ | Yes |

## Other

- **Enumeration date:** 04/27/2010
- **Last updated:** 04/27/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3059707 | — | NJ |