Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MD045426E | PA |
NPI | 1043201106 |
---|---|
Provider Name | Dr. Peter D Calder |
First Address | Wyomissing, PA 19610-1100 |
Second Address | Wyomissing, PA 19610-1100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0014300700001 | (05) | PA |
0014300700001 | RAILROAD MEDICARE (01) | PA |
01640702 | CAPITAL BLUE CROSS (01) | PA |
0669781000 | KEYSTONE HEALTH EAST (01) | PA |
147426 | HIGHMARK BLUE SHIELD (01) | PA |
4339006 | AETNA (01) | PA |
F10617 | (02) | PA |