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Contact Information

JAIME A CAVALLO, MD, MPHS
789 HOWARD AVENUE
UROLOGY SUITE, FMP 300
NEW HAVEN, CT06519
 Phone: 203-785-5339
 Fax: 203-785-4043
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JAIME A CAVALLO · (Female)

NPI # 1710185624
Status Active
Credentials MD, MPHS
Entity Individual
Enumeration date 07/03/2007
Last updated 08/27/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 63683
  • MA License # 273672
  • MO License # 2007016879
  • NY License # 291812-1
Hospital affiliation(s)
  • LAWRENCE & MEMORIAL HOSPITAL - (Acute Care)
    365 MONTAUK AVE
    NEW LONDON, CT 06320
  • YALE-NEW HAVEN HOSPITAL - (Acute Care)
    20 YORK ST
    NEW HAVEN, CT 06504
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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