MEDICARE: MICHAEL HARRY CALAMIA M.D.

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
1	207Q00000X	Family Medicine Physician	11016	NH

General Provider Information

NPI Number	:	1902960628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL HARRY CALAMIA M.D.

Provider Business Mailing Address
First Line	:	171 MOUNT VERNON ST
Second Line	:
City	:	DOVER
State	:	NH
Zip	:	03820-2716
Country	:	US
Telephone Number	:	603-742-7505
Fax Number	:

Provider Business Practice Location Address
First Line	:	316 NH ROUTE 11
Second Line	:
City	:	FARMINGTON
State	:	NH
Zip	:	03835-3843
Country	:	US
Telephone Number	:	603-755-9801
Fax Number	:	603-755-9806

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	07/08/2007

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