Individual
DR. DIANE P CALELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
140 BERGEN ST, SUITE G1600, NEWARK, NJ 07103-2425
(973) 972-9280
Mailing address
140 BERGEN ST, SUITE G1600, NEWARK, NJ 07103-2425
(973) 972-9280
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
25MA08309900
NJ
208000000X
Pediatrics Physician
MD074333
PA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD074333
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003727
—
NJ
05
—
001955183
—
PA
Enumeration date
07/20/2006
Last updated
03/23/2017
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