Individual
DR. JOHN CACACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-4490
Mailing address
617 NAUTILUS DRIVE, MURRELLS INLET, SC 29576
(203) 500-0969
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
036537
CT
207P00000X
Emergency Medicine Physician
Primary
29217
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292178
—
SC
Enumeration date
07/19/2006
Last updated
04/30/2008
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