Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 25MA06057300 | NJ |
NPI | 1003879487 |
---|---|
Provider Name | Dr. Milagros Calderon Malicdem |
First Address | Medford, NJ 08055-3477 |
Second Address | Medford, NJ 08055-3477 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2006 |
Last Update Date | 08/07/2007 |