Healthcare Provider Details

I. General information

NPI: 1841235991
Provider Name (Legal Business Name): MARITONI JESUSA CALON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARITONI JESUSA CALON-SHAH M.D.

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300B PRINCETON HIGHTSTOWN RD SUITE #201
EAST WINDSOR NJ
08520-1411
US

IV. Provider business mailing address

8 ALFALFA CIR
PLAINSBORO NJ
08536-3141
US

V. Phone/Fax

Practice location:
  • Phone: 609-448-7300
  • Fax: 609-448-8022
Mailing address:
  • Phone: 609-275-0129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0000X
TaxonomyAdolescent Medicine (Internal Medicine) Physician
License NumberMA 072698
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberMA072698
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: