Individual
DR. ANDREA CACCIARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 PARK ST, MONTCLAIR, NJ 07042-3407
(973) 364-0135
Mailing address
PO BOX 32, BEDMINSTER, NJ 07921-0032
(973) 477-6476
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MAO65229
NJ
Other
Enumeration date
08/31/2006
Last updated
04/12/2010
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