Individual
DR. MARK V. CALIENDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 BROOKSHIRE LN, ORWIGSBURG, PA 17961-9505
(570) 213-7932
(570) 213-7936
Mailing address
140 BROOKSHIRE LN, ORWIGSBURG, PA 17961-9505
(570) 943-2769
(570) 213-7936
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD418019
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD418019
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018654510004
—
PA
01
—
101329
FEDERAL BLACK LUNG
PA
01
—
1328834
HIGHMARK BLUE SHIELD
PA
01
—
50000691
CAPITAL BLUE CROSS
PA
01
—
70465
GEISINGER HEALTH PLAN
PA
01
—
940000266
RAILROAD MEDICARE
PA
Enumeration date
01/28/2006
Last updated
01/05/2011
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