Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 25MA02156300 | NJ |
N | 111NI0900X | Internist | 25MA02156300 | NJ |
N | 207R00000X | Internist | MD010041E | PA |
N | 111NI0900X | Internist | MD010041E | PA |
Y | 207RH0000X | Hematologist | 25MA02156300 | NJ |
N | 207RH0000X | Hematologist | MD010041E | PA |
NPI | 1114910262 |
---|---|
Provider Name | Robert C. Calvo |
First Address | Willingboro, NJ 08046-1104 |
Second Address | Willingboro, NJ 08046-1104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2005 |
Last Update Date | 12/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
007517000 | AMERIHEALTH/KEYSTONE/IBC (01) | NJ |
058086 | AMERIHEALTH PPO/PABS (01) | NJ |
0913444 | CIGNA (01) | NJ |
1501801 | (05) | NJ |
18955 | UNIVERISTY HEALTH PLAN (01) | NJ |
3817511 | AETNA (01) | NJ |
3K5920 | HEALTHNET, INC (01) | NJ |
60028518 | HORIZON NJ HEALTH (01) | NJ |
897967 | UNITED HEALTH CARE (01) | NJ |
897967 | UNIVERISTY HEALTH PLAN (01) | NJ |
D18725 | (02) | |
P3597668 | OXFORD (01) | NJ |