Provider Demographics
NPI:1831491992
Name:CAFONECARE, LLC
Entity Type:Organization
Organization Name:CAFONECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CAFONE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:856-223-9355
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-23
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB06424200208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty