Individual
DR. JAIME ANN CAVALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPHS
Contact information
Practice address
789 HOWARD AVENUE, UROLOGY SUITE, FMP 300, NEW HAVEN, CT 06519
(203) 785-5339
(203) 785-4043
Mailing address
789 HOWARD AVENUE, UROLOGY SUITE, FMP 300, NEW HAVEN, CT 06519
(203) 785-5339
(203) 785-4043
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2007016879
MO
208800000X
Urology Physician
273672
MA
208800000X
Urology Physician
291812-1
NY
208800000X
Urology Physician
Primary
63683
CT
Other
Enumeration date
07/03/2007
Last updated
08/27/2019
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