Provider Demographics
NPI:1043201106
Name:CALDER, PETER D (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:D
Last Name:CALDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 PAPERMILL RD
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1100
Mailing Address - Country:US
Mailing Address - Phone:610-372-0712
Mailing Address - Fax:610-376-6968
Practice Address - Street 1:1802 PAPERMILL RD
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1100
Practice Address - Country:US
Practice Address - Phone:610-372-0712
Practice Address - Fax:610-376-6968
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045426E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4339006OtherAETNA
PA0014300700001Medicaid
PA147426OtherHIGHMARK BLUE SHIELD
PA0669781000OtherKEYSTONE HEALTH EAST
PA0014300700001OtherRAILROAD MEDICARE
PA01640702OtherCAPITAL BLUE CROSS
PA0014300700001Medicaid
PA147426Medicare ID - Type Unspecified