Individual
DR. JOSEPH A LACAVERA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
348 GRANT ST, SALEM, NJ 08079-2108
(856) 935-6120
(856) 935-2684
Mailing address
494 BARRETTS RUN RD, BRIDGETON, NJ 08302-3870
(856) 455-7081
(856) 935-2684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB2901500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1328204
—
NJ
Enumeration date
06/10/2006
Last updated
04/20/2010
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