Healthcare Provider Details

I. General information

NPI: 1962296137
Provider Name (Legal Business Name): ADELE CAHALL CPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 W BROAD ST
HOPEWELL NJ
08525-1999
US

IV. Provider business mailing address

126 TAYLOR TER
HOPEWELL NJ
08525-1611
US

V. Phone/Fax

Practice location:
  • Phone: 609-466-1960
  • Fax:
Mailing address:
  • Phone: 301-830-1523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number28RW05233000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: