Organization
HIGHLAND PHYSICIAN SERVICES, 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
1 BAY AVENUE, MONTCLAIR, NJ 07042-4837
(973) 429-6000
Mailing address
66 W GILBERT ST, TINTON FALLS, NJ 07701-4918
(732) 212-0060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NJ
208D00000X
General Practice Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089486
—
NJ
01
—
91001950500
AMERICHOICE
NJ
01
—
DE4247
RAILROAD MEDICARE
NJ
01
—
G3652691
OXFORD
NJ
Enumeration date
05/03/2006
Last updated
07/21/2022
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