Individual
JAMES E CAUTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1068 W BALTIMORE PIKE STE 202, MEDIA, PA 19063
(484) 337-2580
Mailing address
1068 W BALTIMORE PIKE STE 202, MEDIA, PA 19063-5104
(484) 337-2580
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP018384
PA
363LF0000X
Family Nurse Practitioner
Primary
SP018384
PA
Other
Enumeration date
04/03/2018
Last updated
06/28/2018
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