Organization
BEHAVIORAL HEALTH SPECIALIST AT HIGHLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J CALABRO DO (PRESIDENT)
(732) 212-0060
Entity
Organization
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6000
Mailing address
66 WEST GILBERT ST., 2ND FLOOR, RED BANK, NJ 07701-4918
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0232076
—
NJ
01
—
DQ3774
RR MEDICARE
NJ
Enumeration date
01/20/2010
Last updated
07/14/2011
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