Individual
DR. JACLYN A. CALEM-GRUNAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 FRANKLIN TPKE, WALDWICK, NJ 07463-1749
(201) 445-8822
(201) 447-7058
Mailing address
20 FRANKLIN TPKE, WALDWICK, NJ 07463-1749
(201) 445-8822
(201) 447-7058
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA06266300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6802001
—
NJ
Enumeration date
10/03/2005
Last updated
01/09/2008
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