Calderon, Rosa

Calderon, Rosa is an sole proprietor health care provider with primary practice located at 3196 Kennedy Blvd Fl 3, Union City NJ 07087-2436. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Calderon, Rosa can be contacted via phone (201) 974-0077.

Contact Information

Primary practice address
3196 Kennedy Blvd Fl 3 Union City NJ 07087-2436
Fax: (201) 809-4002
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07841700 New Jersey

Profile Details

NPI number 1750497129
LBN Legal business name Calderon, Rosa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Aug 21st, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750497129 NPPES
New Jersey MEDICAID 0107646

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