Organization
CAPE INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY R STAVE DO (OWNER)
(609) 465-9980
Entity
Organization
Contact information
Practice address
1 ENTERPRISE DR, SUITE A, CAPE MAY COURT HOUSE, NJ 08210-3504
(609) 465-9980
(609) 465-9982
Mailing address
PO BOX 56, CAPE MAY COURT HOUSE, NJ 08210-0056
(609) 465-9980
(609) 465-9982
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB028872
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110227869
RAILROAD MEDICARE
NJ
05
—
1325302
—
NJ
Enumeration date
04/27/2006
Last updated
10/29/2007
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