Provider Demographics
NPI:1821353079
Name:MEDICAL PROVIDERS ON THE GO
Entity Type:Organization
Organization Name:MEDICAL PROVIDERS ON THE GO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:CAVUTO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-534-5998
Mailing Address - Street 1:231 HIGH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-1450
Mailing Address - Country:US
Mailing Address - Phone:609-534-5998
Mailing Address - Fax:609-488-6023
Practice Address - Street 1:231 HIGH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-1450
Practice Address - Country:US
Practice Address - Phone:609-534-5998
Practice Address - Fax:609-488-6023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty