Organization
LAFAYETTE MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE JULIE CABALEIRO MD (DOCTOR)
(973) 344-3518
Entity
Organization
Contact information
Practice address
390 NEW YORK AVE, NEWARK, NJ 07105-3125
(973) 344-3518
(973) 344-1167
Mailing address
390 NEW YORK AVE, NEWARK, NJ 07105-3125
(973) 344-3518
(973) 344-1167
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018802
—
NJ
Enumeration date
11/01/2006
Last updated
07/12/2010
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