Individual
STEPHANIE CAVICCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
980 LAUREL LN, PITTSGROVE, NJ 08318-4064
(856) 689-0492
Mailing address
980 LAUREL LN, PITTSGROVE, NJ 08318-4064
(856) 689-0492
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
AG12250071
NJ
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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