Provider Demographics
NPI:1619792074
Name:CAINGLET, KLAREENA SHEENA
Entity type:Individual
Prefix:
First Name:KLAREENA
Middle Name:SHEENA
Last Name:CAINGLET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 HUNTERDON RD
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1627
Mailing Address - Country:US
Mailing Address - Phone:862-245-0007
Mailing Address - Fax:
Practice Address - Street 1:39 HUNTERDON RD
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-1627
Practice Address - Country:US
Practice Address - Phone:862-245-0007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant