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Organization
NORTHEAST HOSPITAL PHYSICIANS, P.A.
Active
Organization
NORTHEAST HOSPITAL PHYSICIANS, P.A.
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
155 JEFFERSON ST, NEWARK, NJ 07105-1706
(973) 589-1300
Mailing address
66 W GILBERT ST, TINTON FALLS, NJ 07701-4918
(732) 212-0060
(732) 212-0061
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090441
—
NJ
01
—
02040866
NY MEDICAID
NJ
01
—
1136758
HORIZON NJ HEALTH
NJ
01
—
4799804
GHI
NJ
01
—
90000520200
AMERICHOICE
NJ
01
—
CN6942
RAILROAD MEDICARE
NJ
01
—
G967467
OXFORD
NJ
Enumeration date
05/03/2006
Last updated
07/21/2022
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