Individual
CHERYL E CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4810 BELMAR BLVD, WALL TOWNSHIP, NJ 07753-6952
(732) 938-6090
(732) 938-5680
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00357400
NJ
363A00000X
Physician Assistant
PA1094917
FL
363AS0400X
Surgical Physician Assistant
25MP00357400
NJ
Other
Enumeration date
12/21/2010
Last updated
11/12/2024
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