Individual
DR. ALFRED MARC CALO ILORETA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 E 98TH ST, 8TH FLOOR DEPT OTOLARYNGOLOGY, NEW YORK, NY 10029-6501
(212) 241-9410
Mailing address
5 E 98TH ST, 8TH FLOOR DEPT OTOLARYNGOLOGY, NEW YORK, NY 10029-6501
(212) 241-9410
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
264716
NY
207Y00000X
Otolaryngology Physician
Primary
MD448184
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0365343
—
NJ
05
—
102839584
—
PA
Enumeration date
05/27/2008
Last updated
08/18/2015
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