Provider Demographics
NPI:1194893347
Name:CAYETANO, VICTORIA F (MD)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:F
Last Name:CAYETANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ANGELA CT
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-1335
Mailing Address - Country:US
Mailing Address - Phone:973-809-8265
Mailing Address - Fax:
Practice Address - Street 1:59 KOCH AVENUE
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950
Practice Address - Country:US
Practice Address - Phone:973-538-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA034567002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ503505C2EOtherMEDICARE BILLING NO.
NJ503505C2EOtherMEDICARE BILLING NO.
NJG08259Medicare UPIN