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NPI Code Detail

MEDICARE: RAYMOND B CALANTONE DMD

MEDICARE:   RAYMOND B CALANTONE  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry11743NJ

General Provider Information

NPI Number : 1578588810
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND B CALANTONE DMD
Provider Business Mailing Address
First Line : 466 OLD HOOK RD STE 5
Second Line :
City : EMERSON
State : NJ
Zip : 07630-1368
Country : US
Telephone Number : 201-265-8000
Fax Number :
Provider Business Practice Location Address
First Line : 466 OLD HOOK RD STE 5
Second Line :
City : EMERSON
State : NJ
Zip : 07630-1368
Country : US
Telephone Number : 201-265-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 07/08/2007

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Directions to “ RAYMOND B CALANTONE DMD” Practice Location

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