Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 25MA07212600 | NJ |
NPI | 1093789158 |
---|---|
Provider Name | Felice A Caldarella |
First Address | Clinton, NJ 08809 |
Second Address | Clinton, NJ 08809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 03/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0044458 | (05) | NJ |
H86862 | (02) | NJ |