Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | NC | |
N | 222Z00000X | Podiatrist | NC | |
Y | 224P00000X | Prosthetist | NC |
NPI | 1457376931 |
---|---|
Provider Name | Mr. Marco T Calcagno |
First Address | Raleigh, NC 27615-4099 |
Second Address | Raleigh, NC 27615-4099 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 12/07/2013 |