Provider Demographics
NPI:1093751281
Name:CALZARETTO, ANTHONY F (DC)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:F
Last Name:CALZARETTO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 COOPER LANDING RD. C-17
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002
Mailing Address - Country:US
Mailing Address - Phone:856-667-0505
Mailing Address - Fax:856-667-8083
Practice Address - Street 1:401 COOPER LANDING RD. C-17
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002
Practice Address - Country:US
Practice Address - Phone:856-667-0505
Practice Address - Fax:856-667-8083
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC04364111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP2215918OtherOXFORD
NJ0642782000OtherAMERIHEALTH
NJ115036OtherAETNA
NJ6614108Medicaid
NJ6614108Medicaid
NJP2215918OtherOXFORD