Daniela Cavallaro, NP
Nurse Practitioner, Adult Health in Ridgewood, NJ. Individual provider (NPI-1).
NPI number1336692011
StatusActive
Last updated in NPPESAug 1, 2018
Details
- NPI
- 1336692011
- Entity type
- Individual (NPI-1)
- Name
- Ms. Daniela Cavallaro
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2016
- Last updated
- Aug 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 26NJ00649500 | NJ | Yes |
Other names
- Daniela Kofman (Former Name)
Practice location
330 Franklin TpkeRidgewood, NJ 07450
Phone 201-447-1900
Mailing address
330 Franklin TpkeRidgewood, NJ 07450-1932
Phone 201-447-1900
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