Individual
JOSEPH PHILIP CASSOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 CENTER AVE, FORT LEE, NJ 07024-4731
(201) 585-7511
Mailing address
1600 CENTER AVE, FORT LEE, NJ 07024-4731
(201) 585-7511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42457
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0478903
—
NJ
Enumeration date
12/23/2006
Last updated
07/09/2010
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