Individual
COURTNEY CALANDRO
Active
Individual
COURTNEY CALANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001819
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008017868
—
CT
01
—
P01260360
RR MEDICARE
CT
Enumeration date
10/20/2006
Last updated
05/27/2021
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