Healthcare Provider Details

I. General information

NPI: 1114918240
Provider Name (Legal Business Name): JOEL C CALARCO BS, NREMT-P
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/28/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1572 CAMBRIDGE DR
MACUNGIE PA
18062-8746
US

IV. Provider business mailing address

1572 CAMBRIDGE DR
MACUNGIE PA
18062-8746
US

V. Phone/Fax

Practice location:
  • Phone: 610-366-8205
  • Fax:
Mailing address:
  • Phone: 610-366-8205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number075448
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: