Organization
PEDIATRIC HOSPITAL ASSOCIATES, 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
495 N 13TH ST, NEWARK, NJ 07107-1317
(973) 268-1400
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4918
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7585501
—
NJ
Enumeration date
08/02/2005
Last updated
07/21/2022
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