Healthcare Provider Details

I. General information

NPI: 1093789158
Provider Name (Legal Business Name): FELICE A CALDARELLA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 11/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1738 ROUTE 31 NORTH SUITE 108
CLINTON NJ
08809
US

IV. Provider business mailing address

1738 ROUTE 31 NORTH SUITE 108
CLINTON NJ
08809
US

V. Phone/Fax

Practice location:
  • Phone: 908-735-3980
  • Fax: 908-735-3981
Mailing address:
  • Phone: 908-735-3980
  • Fax: 908-735-3981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number25MA07212600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: