Individual
MR. VICTOR J CALDERON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3044 N 5TH ST FL 1, PHILADELPHIA, PA 19133-2809
(267) 455-0158
Mailing address
3044 N 5TH ST FL 1, PHILADELPHIA, PA 19133-2809
(215) 668-6985
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
59243601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59243601
—
PA
Enumeration date
02/05/2022
Last updated
03/26/2022
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