Healthcare Provider Details

I. General information

NPI: 1760108146
Provider Name (Legal Business Name): RACHEL ANN CALAMARI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL ANN BORGER NP

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 10/17/2022
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 WOODSTOWN RD
SWEDESBORO NJ
08085-3181
US

IV. Provider business mailing address

920 S 24TH ST
PHILADELPHIA PA
19146-2442
US

V. Phone/Fax

Practice location:
  • Phone: 856-358-1500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ01383300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: