Organization
PERCIVAL A CABALLERO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERCIVAL A CABALLERO MD (OWNER)
(973) 492-2900
Entity
Organization
Contact information
Practice address
15 KIEL AVE, SUITE 101, KINNELON, NJ 07405-2565
(973) 492-2900
Mailing address
15 KIEL AVE, SUITE 101, KINNELON, NJ 07405-2565
(973) 492-2900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA02992900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3059707
—
NJ
Enumeration date
04/27/2010
Last updated
04/27/2010
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