Individual
JOANNE CALABRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1299 E BROAD ST, TAMAQUA, PA 18252-2229
(570) 668-6541
(570) 668-6545
Mailing address
1299 E BROAD ST, TAMAQUA, PA 18252-2229
(570) 668-6541
(570) 668-6545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS009314L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017470280008
—
PA
Enumeration date
03/24/2006
Last updated
09/06/2012
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