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Contact Information

ANTHONY R CAVAZOS, MD
29 SOUTH ST
NEW PROVIDENCE, NJ07974-2934
 Phone: 908-679-8181
 Fax: 908-679-8179
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Preventive Medicine/Occupational-Environmental Medicine

2083P0500X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for ANTHONY R CAVAZOS · (Male)

NPI # 1104944263
Status Active
Credentials MD
Entity Individual
Enumeration date 03/27/2007
Last updated 07/07/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA07124300
  • NJ Medicaid 0203343
  • Other 5221142040 BCBS OF NJ
  • Other 04-29599 EVERCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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