Provider Demographics
NPI:1871800847
Name:CAHILL, MARY BETH (CPNP)
Entity type:Individual
Prefix:MRS
First Name:MARY BETH
Middle Name:
Last Name:CAHILL
Suffix:
Gender:F
Credentials:CPNP
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Other - Last Name:
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Mailing Address - Street 1:195 COLUMBIA TPKE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-2254
Mailing Address - Country:US
Mailing Address - Phone:973-437-8300
Mailing Address - Fax:973-845-2883
Practice Address - Street 1:195 COLUMBIA TPKE
Practice Address - Street 2:SUITE 105
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-2254
Practice Address - Country:US
Practice Address - Phone:973-437-8300
Practice Address - Fax:973-845-2883
Is Sole Proprietor?:No
Enumeration Date:2010-09-11
Last Update Date:2017-01-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NN10251600363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics