Organization
BARBARA A CAVALLARO, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH MCGRAW (ADMINISTRATOR)
(201) 688-0823
Entity
Organization
Contact information
Practice address
211 ESSEX ST STE 402, HACKENSACK, NJ 07601-3246
(201) 301-2772
Mailing address
PO BOX 1140, WARWICK, NY 10990-8140
(201) 688-0823
(845) 544-2201
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10697325
CAQH
—
01
—
1821058629
INDIVIDUAL NPI
NJ
Enumeration date
01/18/2019
Last updated
12/08/2019
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