Organization
M. CALHOUN THOMAS MD
Active
Other names
Park Avenue Pediatrics Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONTRAE CALHOUN THOMAS MD (PHYSICIAN)
(973) 672-2770
Entity
Organization
Contact information
Practice address
485 PARK AVENUE, ORANGE, NJ 07050
(973) 672-2770
(973) 672-7009
Mailing address
485 PARK AVENUE, ORANGE, NJ 07050
(973) 672-2770
(973) 672-7009
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA035250
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3608409
—
NJ
Enumeration date
04/13/2007
Last updated
07/31/2008
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