Healthcare Provider Details

I. General information

NPI: 1235451790
Provider Name (Legal Business Name): ROMEO A CABALLES JR MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2010
Last Update Date: 03/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 LAMINGTON RD SUITE B
BRANCHBURG NJ
08876-3374
US

IV. Provider business mailing address

26 OLD SCHOOLHOUSE RD
ASBURY NJ
08802-1210
US

V. Phone/Fax

Practice location:
  • Phone: 908-203-0022
  • Fax:
Mailing address:
  • Phone: 908-203-0022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number25MA07101700
License Number StateNJ

VIII. Authorized Official

Name: DR. ROMEO ANTHONY CABALLES JR.
Title or Position: PHYSICIAN
Credential: MD
Phone: 908-203-0022