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Individual

ROBERT CAVALLARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
459 JACKSON ROAD, ATCO, NJ 08004
(856) 768-4220
(856) 768-7806
Mailing address
459 JACKSON ROAD, ATCO, NJ 08004
(856) 768-4220
(856) 768-7806

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1878
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0073080000
AMERIHEALTH
01
546982
AETNA
Enumeration date
01/08/2007
Last updated
07/08/2007
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