Individual
DR. GREGORIO A CALLEJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10710 SHORE FRONT PKWY, PROFESSIONAL SUITE, ROCKAWAY PARK, NY 11694-2637
(718) 474-2656
(718) 945-4876
Mailing address
10710 SHORE FRONT PKWY, PROFESSIONAL SUITE, ROCKAWAY PARK, NY 11694-2637
(718) 474-2656
(718) 945-4876
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
148093
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00705179
—
NY
01
—
38398
CIGNA
NY
01
—
71A191
BLUE CROSS/BLUE SHIELD
NY
01
—
DP550
OXFORD
NY
Enumeration date
07/07/2006
Last updated
07/09/2007
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