Organization
MOBILE PHYSICIAN GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN M CAVUTO-CARNIVALE (MEDICAL DIRECTOR)
(609) 534-5998
Entity
Organization
Contact information
Practice address
231 HIGH ST FL 1, MOUNT HOLLY, NJ 08060-1450
(609) 534-5998
(609) 488-6023
Mailing address
231 HIGH ST FL 1, MOUNT HOLLY, NJ 08060-1450
(609) 534-5998
(609) 488-6023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB63668
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0289736
—
NJ
Enumeration date
04/04/2012
Last updated
05/31/2012
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