Individual
JOHANNA MARIE DEL'RE KALEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
455 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 840-6500
(732) 840-6459
Mailing address
PO BOX 14068, HAUPPAUGE, NY 11788-0789
(631) 952-5701
(631) 952-5740
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA06574500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001228
—
NJ
Enumeration date
06/13/2006
Last updated
01/15/2008
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