Individual
DR. MARA BEATRIZ CHAVOLLA-CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8854
(718) 635-6331
Mailing address
10 LIBERTY ST APT 35F, NEW YORK, NY 10005-1553
(646) 852-6547
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
274120
NY
2080P0203X
Pediatric Critical Care Medicine Physician
7192637-1205
UT
Other
Enumeration date
05/15/2009
Last updated
03/17/2018
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