Healthcare Provider Details
I. General information
NPI: 1477508463
Provider Name (Legal Business Name): CAPE CATARACT CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/24/2006
Last Update Date: 03/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
804 S ROUTE 9
CAPE MAY COURT HOUSE NJ
08210-2358
US
IV. Provider business mailing address
804 S ROUTE 9
CAPE MAY COURT HOUSE NJ
08210-2358
US
V. Phone/Fax
- Phone: 609-463-1525
- Fax: 609-463-1528
- Phone: 609-463-1525
- Fax: 609-463-1528
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MICHAEL
J
CARUSO
Title or Position: OWNER
Credential: DO
Phone: 609-463-1525