Organization
THE CARDIO-THORACIC SURGICAL GROUP, PA
Active
Other names
Thoracic Group, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOSEPH CACCAVALE M.D. (PRESIDENT)
(732) 247-3002
Entity
Organization
Contact information
Practice address
35 CLYDE RD, SUITE # 104, SOMERSET, NJ 08873-5033
(732) 247-3002
(732) 846-3819
Mailing address
35 CLYDE RD, SUITE # 104, SOMERSET, NJ 08873-5033
(732) 247-3002
(732) 846-3819
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
208G00000X
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2615304
—
NJ
Enumeration date
03/28/2007
Last updated
08/22/2020
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