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Individual

MR. CALVIN GEORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APN-BC

Contact information

Practice address
111 S ORANGE AVE STE 38, SOUTH ORANGE, NJ 07079-1912
(973) 878-9090
(908) 224-3390
Mailing address
111 S ORANGE AVE STE 37-38, SOUTH ORANGE, NJ 07079-1936
(973) 878-9090
(908) 224-3390

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00463600
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00463600
NJ

Other

Enumeration date
10/18/2013
Last updated
10/20/2024
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