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NPI Code Detail

MEDICARE: EMERGENCY ASSOCIATES OF THE IRONBOUND, P.A.

MEDICARE: EMERGENCY ASSOCIATES OF THE IRONBOUND, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianNJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316948300
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERGENCY ASSOCIATES OF THE IRONBOUND, P.A.
Provider Business Mailing Address
First Line : 66 W GILBERT ST
Second Line : 2ND FLOOR
City : TINTON FALLS
State : NJ
Zip : 07701-4918
Country : US
Telephone Number : 732-212-0051
Fax Number : 732-212-0713
Provider Business Practice Location Address
First Line : 155 JEFFERSON ST
Second Line :
City : NEWARK
State : NJ
Zip : 07105-1706
Country : US
Telephone Number : 973-589-1300
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOSEPH JOHN CALABRO
Credential : DO
Telephone Number : 732-212-0060
Provider Enumeration Date : 08/02/2005
Last Update Date : 07/21/2022

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