Organization
RENAISSANCE MEDICAL GROUP, PA
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) 344-5498
(973) 344-6686
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4918
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00426770001
AMERIHEALTH OF NJ
PA
05
—
6987303
—
NJ
01
—
84519
WELLCHOICE OF NJ
NJ
01
—
84519
EMPIRE BC BS OF NY
NY
01
—
977755
FOCUS HEALTHCARE
PA
01
—
CG0998
RAILROAD MEDICARE
NJ
01
—
G436485
OXFORD
NJ
Enumeration date
08/02/2005
Last updated
07/21/2022
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