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Contact Information

LOUIS J CIRAVOLO, DPM
602 S BROADWAY
CAMDEN, NJ08103-1222
 Phone: 856-963-2266
 Fax: 856-772-2881
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for LOUIS J CIRAVOLO · (Male)

NPI # 1780731034
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/05/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # MD02339
  • NJ Medicaid 7279302
  • NJ Other 010002883-00 AMERICHOICE OF NJ
  • NJ Other 1107086 HORIZON NJ HEALTH
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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