Organization
PHYSICIAN ASSOCIATES OF TEANECK, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J CALABRO DO (PRESIDENT)
(732) 212-0060
Entity
Organization
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3000
Mailing address
66 W GILBERT ST, TINTON FALLS, NJ 07701-4947
(732) 212-0060
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190756
—
NJ
Enumeration date
03/11/2009
Last updated
04/23/2009
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