Organization
ELM STREET HOSPITAL PHYSICIANS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH JOHN CALABRO DO (PRESIDENT)
(732) 212-0060
Entity
Organization
Contact information
Practice address
155 JEFFERSON ST, NEWARK, NJ 07105-1706
(973) 589-1300
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4918
(732) 212-0051
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8716404
—
NJ
Enumeration date
08/01/2005
Last updated
07/21/2022
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