Calello, Diane P
Calello, Diane P is an sole proprietor health care provider with primary practice located at 140 Bergen St Suite G1600, Newark NJ 07103-2425. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Calello, Diane P can be contacted via phone (973) 972-9280.Contact Information
Primary practice address
140 Bergen St Suite G1600
Newark NJ 07103-2425
Phone: (973) 972-9280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD074333 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | MD074333 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 25MA08309900 | New Jersey |
Profile Details
| NPI number | 1821018334 |
|---|---|
| LBN Legal business name | Calello, Diane P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Mar 23rd, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821018334 | NPPES |
| New Jersey | MEDICAID | 0003727 | |
| New Jersey | MEDICAID | 001955183 |
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