Healthcare Provider Details

I. General information

NPI: 1851334361
Provider Name (Legal Business Name): DR. ROSARIO CALERO-BAI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 04/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 HIGH MOUNTAIN RD SUITE 106
NORTH HALEDON NJ
07508-2665
US

IV. Provider business mailing address

5 EMERALD WOODS CT
UPPER SADDLE RIVER NJ
07458-1860
US

V. Phone/Fax

Practice location:
  • Phone: 973-304-2020
  • Fax: 973-304-2012
Mailing address:
  • Phone: 201-825-0166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA05505700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: