MEDICARE: DR. MARITONI JESUSA CALON M.D.

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
1	207RA0000X	Adolescent Medicine (Internal Medicine) Physician	MA 072698	NJ
2	2080A0000X	Pediatric Adolescent Medicine Physician	MA072698	NJ

General Provider Information

NPI Number	:	1841235991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARITONI JESUSA CALON M.D.

Provider Business Mailing Address
First Line	:	8 ALFALFA CIR
Second Line	:
City	:	PLAINSBORO
State	:	NJ
Zip	:	08536-3141
Country	:	US
Telephone Number	:	609-275-0129
Fax Number	:

Provider Business Practice Location Address
First Line	:	300B PRINCETON HIGHTSTOWN RD
Second Line	:	SUITE #201
City	:	EAST WINDSOR
State	:	NJ
Zip	:	08520-1411
Country	:	US
Telephone Number	:	609-448-7300
Fax Number	:	609-448-8022

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	09/11/2025

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