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Individual
STANLEY CALDERWOOD
Active
Individual
STANLEY CALDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A73264
CA
2080P0207X
Pediatric Hematology & Oncology Physician
25MA08711900
NJ
2080P0207X
Pediatric Hematology & Oncology Physician
A73264
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A732640
MEDI-CAL PROVIDER #
CA
Enumeration date
05/18/2006
Last updated
10/10/2024
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