Healthcare Provider Details

I. General information

NPI: 1255357877
Provider Name (Legal Business Name): CATALDO DORIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 04/26/2021
Certification Date: 04/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CAPITAL WAY STE 356
PENNINGTON NJ
08534-2521
US

IV. Provider business mailing address

2 CAPITAL WAY STE 356
PENNINGTON NJ
08534-2521
US

V. Phone/Fax

Practice location:
  • Phone: 609-537-6000
  • Fax: 609-537-6002
Mailing address:
  • Phone: 609-537-6000
  • Fax: 609-537-6002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number25MA10363200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: