Provider Demographics
NPI:1750766028
Name:CANDAVA, RHEU CRISTINE BACAY (MD)
Entity type:Individual
Prefix:
First Name:RHEU CRISTINE
Middle Name:BACAY
Last Name:CANDAVA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:465 SOUTH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6442
Mailing Address - Country:US
Mailing Address - Phone:973-971-5676
Mailing Address - Fax:973-290-7365
Practice Address - Street 1:55 MADISON AVE FL 2
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7337
Practice Address - Country:US
Practice Address - Phone:973-971-5676
Practice Address - Fax:973-290-7365
Is Sole Proprietor?:No
Enumeration Date:2015-07-28
Last Update Date:2025-07-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2959112080P0206X
NJ25MA124367002080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology