Individual
MRS. COLLEEN R KALMBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
30 MORAN ST, NEWTON, NJ 07860-1832
(862) 246-9212
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00048500
NJ
363AM0700X
Medical Physician Assistant
006971
NJ
Other
Enumeration date
02/14/2008
Last updated
11/04/2020
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