Provider Demographics
NPI:1497168702
Name:CATALDO, BRITTANY ELISE (DO)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:ELISE
Last Name:CATALDO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:BRITTANY
Other - Middle Name:ELISE
Other - Last Name:KNOLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 LAUREL OAK RD STE B
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4424
Mailing Address - Country:US
Mailing Address - Phone:856-566-5478
Mailing Address - Fax:
Practice Address - Street 1:201 LAUREL OAK RD STE B
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4424
Practice Address - Country:US
Practice Address - Phone:856-566-5478
Practice Address - Fax:856-566-9561
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NJ25MB10116100207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ14271986OtherCAQH NUMBER
NJ25MB10116100OtherLICENSE NUMBER
NJD11040500OtherCDS NUMBER
NJ1497168702OtherNPI NUMBER
NJ1497168702OtherNPI NUMBER