Individual
THEODORICO CALICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2790
(973) 754-2791
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR06349700
NJ
367500000X
Certified Registered Nurse Anesthetist
358166
NY
Other
Enumeration date
08/24/2005
Last updated
04/07/2015
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