Healthcare Provider Details

I. General information

NPI: 1275557720
Provider Name (Legal Business Name): CHARLES CARL CALENDA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 TOLL GATE RD
WARWICK RI
02886-4317
US

IV. Provider business mailing address

404 TOLL GATE RD
WARWICK RI
02886-4317
US

V. Phone/Fax

Practice location:
  • Phone: 401-737-2200
  • Fax: 401-739-8841
Mailing address:
  • Phone: 401-737-2200
  • Fax: 401-739-8841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD0605
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: