Provider Demographics
NPI:1891771358
Name:CAUDA, JOSEPH ELMO (MD FACS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ELMO
Last Name:CAUDA
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Gender:M
Credentials:MD FACS
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Mailing Address - Street 1:655 SHREWSBURY AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4179
Mailing Address - Country:US
Mailing Address - Phone:732-747-4744
Mailing Address - Fax:732-747-4751
Practice Address - Street 1:655 SHREWSBURY AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4179
Practice Address - Country:US
Practice Address - Phone:732-747-4744
Practice Address - Fax:732-747-4751
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-16
Last Update Date:2009-01-15
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA41837208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1392000Medicaid
043749794OtherAMERIHEALTH
1547535OtherUNITED HEALTHCARE
S28388OtherHEALTHNET
043749794OtherCIGNA
P465523OtherOXFORD
043749794OtherHARIZON
NJ0013689OtherTRICARE
043749794OtherWELL CHOICE EMPIRE
P00046486OtherRAILROAD MEDICARE
2058786OtherAETNA
043749794OtherHARIZON
043749794OtherWELL CHOICE EMPIRE