Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 38MC00437400 | NJ |
N | 111NI0013X | Independent Medical Examiner | 38MC00437400 | NJ |
NPI | 1144295478 |
---|---|
Provider Name | Dr. Steven Charles Cascio |
First Address | Township Of Washington, NJ 07676-4939 |
Second Address | Township Of Washington, NJ 07676-4939 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2006 |
Last Update Date | 25/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
70677304 | (05) | NJ |
U67830 | (02) | NJ |