Individual
MARISSA DANIELLE CAVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 LAWLEY DR, LINCROFT, NJ 07738-1553
(908) 812-2203
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(267) 606-4478
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062293
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/16/2020
Last updated
04/09/2021
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