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General NPI Number Information
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NPI Number | 1831122571
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Entity Type | Organization
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Legal Business Name | NORTH ARLINGTON PRIMARY CARE ASSOC.
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 02/18/2010
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Provider Practice Location Address
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Address Line | 25 LOCUST AVE
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City | NORTH ARLINGTON
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State | NJ
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Zip | 07031-5512
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Country | US
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Telephone | 201-955-0900
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Fax | 201-955-7467
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Provider Business Mailing Address
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Address Line | PO BOX 1939
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City | BLOOMFIELD
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State | NJ
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Zip | 07003-1939
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Country | US
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Telephone | 973-743-2331
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Fax | 973-743-1441
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANGELO D CALABRESE
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Credential | M.D.
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Telephone | 201-955-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 51087
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License Number State | NJ
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