Organization
CADOO MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA CADOO MD (PRESIDENT)
(973) 577-3010
Entity
Organization
Contact information
Practice address
66 PARK ST, MONTCLAIR, NJ 07042-5908
(973) 577-3010
(973) 577-3011
Mailing address
66 PARK STREET, SUITE 100, MONTCLAIR, NJ 07042
(973) 577-3010
(973) 577-3011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538460498
NPI
—
01
—
BCBS
HORIZON
NJ
01
—
CIGNA
CIGNA
NJ
01
—
CLOVER
CLOVER
NJ
01
—
UHC
UNITEDHEALTHCARE
NJ
Enumeration date
06/04/2019
Last updated
11/13/2020
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