MEDICARE: DR. DAVID J CALABRO D.C.

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	111N00000X	Chiropractor	38MC00574700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	364483563	OTHER	NJ	TAX ID#

General Provider Information

NPI Number	:	1942334370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID J CALABRO D.C.

Provider Business Mailing Address
First Line	:	199 NEW RD
Second Line	:	STE 53
City	:	LINWOOD
State	:	NJ
Zip	:	08221-2025
Country	:	US
Telephone Number	:	609-601-1327
Fax Number	:

Provider Business Practice Location Address
First Line	:	199 NEW RD STE 53
Second Line	:
City	:	LINWOOD
State	:	NJ
Zip	:	08221-2025
Country	:	US
Telephone Number	:	609-653-9501
Fax Number	:	609-653-9502

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

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	07/02/2020

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