Provider Demographics
NPI:1811182215
Name:CAVALIERI, ROCCO (RPH)
Entity type:Individual
Prefix:
First Name:ROCCO
Middle Name:
Last Name:CAVALIERI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08302-2831
Mailing Address - Country:US
Mailing Address - Phone:856-455-0777
Mailing Address - Fax:856-455-6896
Practice Address - Street 1:52 E BROAD ST
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:NJ
Practice Address - Zip Code:08302-2831
Practice Address - Country:US
Practice Address - Phone:856-455-0777
Practice Address - Fax:856-455-6896
Is Sole Proprietor?:No
Enumeration Date:2007-09-09
Last Update Date:2007-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02293300183500000X
PARP034080L183500000X
DEA1-0003023183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist