Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | OS004833L | PA |
NPI | 1043217136 |
---|---|
Provider Name | Dr. Gregory E. Cali |
First Address | Dunmore, PA 18512-3186 |
Second Address | Dunmore, PA 18512-3186 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 31/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0010516030004 | (05) | PA |
C31761 | (02) |