Healthcare Provider Details

I. General information

NPI: 1851310015
Provider Name (Legal Business Name): SALVADOR A. CUADRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 03/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 CENTRAL AVE
WESTFIELD NJ
07090-2520
US

IV. Provider business mailing address

433 CENTRAL AVE
WESTFIELD NJ
07090
US

V. Phone/Fax

Practice location:
  • Phone: 973-759-9000
  • Fax: 973-751-3730
Mailing address:
  • Phone: 973-759-9000
  • Fax: 973-759-2487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number25MA07674600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: