Provider Demographics
NPI:1003252669
Name:CALABRESE, VIRGINIA L (CD)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:L
Last Name:CALABRESE
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 CHEWS LANDING RD
Mailing Address - Street 2:
Mailing Address - City:CLEMENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-3816
Mailing Address - Country:US
Mailing Address - Phone:856-404-3888
Mailing Address - Fax:
Practice Address - Street 1:406 BROMLEY EST
Practice Address - Street 2:
Practice Address - City:PINE HILL
Practice Address - State:NJ
Practice Address - Zip Code:08021-6418
Practice Address - Country:US
Practice Address - Phone:856-449-7810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula