Individual
JEFFREY CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 WASHINGTON TOWNE BLVD N, EDINBORO, PA 16412-1254
(814) 734-8647
Mailing address
120 WASHINGTON TOWNE BLVD N, EDINBORO, PA 16412-1254
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD059886L
PA
Other
Enumeration date
07/06/2006
Last updated
04/06/2021
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