Healthcare Provider Details

I. General information

NPI: 1124744990
Provider Name (Legal Business Name): DAVID CALZADO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2022
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

387 QUARRY ST STE 100
FALL RIVER MA
02723-1026
US

IV. Provider business mailing address

60 ELM PL
WHITMAN MA
02382-2428
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-8111
  • Fax: 508-673-0943
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2320420
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: