Individual
MR. CHAD JEREMY CAVICCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1970 ROANOKE BLVD, SALEM VAMC, PRIMARY CARE SERVICE LINE, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-3406
Mailing address
1970 ROANOKE BLVD, SALEM VAMC, PRIMARY CARE SERVICE LINE, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-3406
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003827
MI
Other
Enumeration date
10/04/2006
Last updated
09/11/2015
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