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Organization
ELM STREET HOSPITAL PHYSICIANS, P.A.
Active
Organization
ELM STREET 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, 2ND FLOOR, TINTON FALLS, NJ 07701-4918
(732) 212-0051
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8716404
—
NJ
Enumeration date
08/01/2005
Last updated
07/21/2022
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