Provider Demographics
NPI:1588663728
Name:CAFONE, MICHAEL D (DO)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:D
Last Name:CAFONE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8 HIGH ST
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:MULLICA HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08062-9540
Mailing Address - Country:US
Mailing Address - Phone:856-223-9355
Mailing Address - Fax:856-223-1693
Practice Address - Street 1:8 HIGH ST
Practice Address - Street 2:SUITE 1B
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062-9540
Practice Address - Country:US
Practice Address - Phone:856-223-9355
Practice Address - Fax:856-223-1693
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMB64242208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
G81052Medicare UPIN