Organization
ANDREA CACCIARELLI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA CACCIARELLI MD (OWNER)
(973) 364-0135
Entity
Organization
Contact information
Practice address
29 PARK ST, MONTCLAIR, NJ 07042-3407
(973) 364-0135
(973) 364-0135
Mailing address
251 SOMERVILLE RD, BEDMINSTER, NJ 07921-2640
(973) 364-0135
(973) 364-0135
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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