James N Cavallaro in St Louis Park - Surgical
James N Cavallaro - NPI 1730166729
James N Cavallaro is a Surgical in St Louis Park, Minnesota. James N Cavallaro practices all healthcare services and medical treatments related to Surgical. The NPI Number for James N Cavallaro is 1730166729. The last update date is 2019-03-11.
James N Cavallaro's current location address is 3931 Louisiana Ave S, St Louis Park, Minnesota. You can contact this provider via phone number 9529933230 and fax number 9529937148. The mailing address for James N Cavallaro is 3931 Louisiana Ave S, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James N Cavallaro |
|---|---|
| Address | 3931 Louisiana Ave S, St Louis Park, Minnesota |
| Phone Number | 9529933230 |
| Fax Number | 9529937148 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1730166729 |
|---|---|
| Provider Enumeration Date | 2005-12-29 |
| Last Updated Date | 2019-03-11 |
Provider Mailing Address Detail
| Address | 3931 Louisiana Ave S |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554265000 |
| Phone Number | 9529933230 |
| Fax Number | 9529937148 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 9864 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 233642100 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to James N Cavallaro by the Centers for Medicare & Medicaid Services?
The James N Cavallaro has been issued the NPI (National Provider Identifier) 1730166729 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where James N Cavallaro's facilities are geographically located?
The facilities of James N Cavallaro are physically situated at the following location: 3931 Louisiana Ave S, St Louis Park, MN, 554265000.
What is James N Cavallaro's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for James N Cavallaro is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1730166729 to James N Cavallaro?
The Centers for Medicare & Medicaid Services assigned the 1730166729 to James N Cavallaro on 2005-12-29.
When was the James N Cavallaro's information last updated?
The James N Cavallaro's information was last updated on 2019-03-11.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY