Healthcare Provider Details

I. General information

NPI: 1831122571
Provider Name (Legal Business Name): NORTH ARLINGTON PRIMARY CARE ASSOC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 02/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 LOCUST AVE
NORTH ARLINGTON NJ
07031-5512
US

IV. Provider business mailing address

PO BOX 1939
BLOOMFIELD NJ
07003-1939
US

V. Phone/Fax

Practice location:
  • Phone: 201-955-0900
  • Fax: 201-955-7467
Mailing address:
  • Phone: 973-743-2331
  • Fax: 973-743-1441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number51087
License Number StateNJ

VIII. Authorized Official

Name: DR. ANGELO D CALABRESE
Title or Position: OWNER
Credential: M.D.
Phone: 201-955-0900