Individual
KEVIN CANNAVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1896 MORRIS AVE, UNION, NJ 07083-3535
(908) 687-8282
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MB12788000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2021
Last updated
09/09/2025
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