Individual
DR. MARY ELIZABETH CALLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0059499
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100797
JHHC PROVIDER NUMBER
MD
01
—
1588055
CIGNA PROVIDER NUMBER
MD
01
—
521186611
UNITED HEALTHCARE PROV #
MD
01
—
5770131
AETNA PPO PROVIDER NUMBER
MD
01
—
61813201
BSMD PROVIDER NUMBER
MD
01
—
8127031
MDIPA PROVIDER NUMBER
MD
01
—
9070 0013
BSDC PROVIDER NUMBER
MD
Enumeration date
05/02/2006
Last updated
01/27/2023
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