Individual
JOSEPH STEPHEN CERVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
741 NORTHFIELD AVE, WEST ORANGE, NJ 07052-1174
(973) 325-3606
(973) 736-8964
Mailing address
85 S JEFFERSON ST, STE. 1, ORANGE, NJ 07050-1562
(973) 677-3466
(973) 677-2362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA04827100
NJ
207R00000X
Internal Medicine Physician
Primary
25MA04827100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1056107
—
NJ
01
—
1K9722
HEALTHNET
—
01
—
4827100
AETNA
NJ
01
—
JC08C45310
EMPIRE BCBS
NY
Enumeration date
07/28/2006
Last updated
01/02/2024
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