Provider Demographics
NPI:1043217136
Name:CALI, GREGORY E (DO)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:E
Last Name:CALI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1000 MEADE ST
Mailing Address - Street 2:STE 200
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18512-3186
Mailing Address - Country:US
Mailing Address - Phone:570-496-0300
Mailing Address - Fax:570-496-0303
Practice Address - Street 1:1000 MEADE ST
Practice Address - Street 2:STE 200
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18512-3186
Practice Address - Country:US
Practice Address - Phone:570-496-0300
Practice Address - Fax:570-496-0303
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS004833L207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010516030004Medicaid
PACA145667Medicare ID - Type Unspecified
C31761Medicare UPIN