MEDICARE: CATALDO CACACE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	MA42060	NJ

General Provider Information

NPI Number	:	1740252907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATALDO CACACE MD

Provider Business Mailing Address
First Line	:	1050 WALL ST W
Second Line	:	SUITE 360
City	:	LYNDHURST
State	:	NJ
Zip	:	07071-3621
Country	:	US
Telephone Number	:	201-821-7900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1815 SUMMIT AVE
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087
Country	:	US
Telephone Number	:	201-867-8555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	02/02/2017

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