Dr. John N Kallis
Oral and Maxillofacial Pathology
617 E Palisade Ave
Englewood Cliffs
, New Jersey 07632-1831
Dr. John N Kallis
Oral and Maxillofacial Pathology
617 E Palisade Ave
Englewood Cliffs
, New Jersey 07632-1831
(201) 567-7505
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. John N Kallis
- 617 E Palisade Ave
- Englewood Cliffs, NJ
- Zip : 07632-1831
- Fax : (201) 567-7505
- Phone : (201) 567-7500
Second Address
- Dr. John N Kallis
- 617 E Palisade Ave
- Englewood Cliffs, NJ
- Zip : 07632-1831
- Fax : (201) 567-7505
- Phone : (201) 567-7500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | DI15472 | NJ |
National Provider Identifier
| NPI | 1821086901 |
|---|---|
| Provider Name | Dr. John N Kallis |
| First Address | Englewood Cliffs, NJ 07632-1831 |
| Second Address | Englewood Cliffs, NJ 07632-1831 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2005 |
| Last Update Date | 29/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1666908 | (05) | NJ |
| U32802 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.