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Organization
PPE-KEYSTONE, P.C.
Active
Organization
PPE-KEYSTONE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH JOHN CALABRO DO (PRESIDENT)
(732) 212-0060
Entity
Organization
Contact information
Practice address
100 LINCOLN AVE, CARBONDALE, PA 18407-2170
(570) 281-1004
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4918
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017817450005
—
PA
05
—
0017817450007
—
PA
01
—
02123279
N.Y. MEDICAID
PA
01
—
0511396000
INDEPENDENCE BLUE
PA
01
—
220655
FIRST PRIORITY HEALTH
PA
01
—
2501137
GHI
PA
01
—
3Y0309
HEALTH NET:
PA
01
—
6109
GEISINGER (MARIAN)
PA
01
—
677832
BLUE SHIELD
PA
01
—
6960
GEISINGER (WAYNE LOCATIO)
PA
01
—
CH1536
RAILROAD MEDICARE
PA
01
—
CK9004
RAILROAD MEDICARE
PA
01
—
CL6905
RAILROAD MEDICARE
PA
Enumeration date
08/02/2005
Last updated
07/21/2022
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