Healthcare Provider Details

I. General information

NPI: 1558643106
Provider Name (Legal Business Name): JOSEPH CAO RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2011
Last Update Date: 12/28/2022
Certification Date: 12/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 ROUTE 130
DELRAN NJ
08075-1868
US

IV. Provider business mailing address

7001 ROUTE 130
DELRAN NJ
08075-1868
US

V. Phone/Fax

Practice location:
  • Phone: 856-461-2152
  • Fax:
Mailing address:
  • Phone: 856-461-2152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI02340700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: