Provider Demographics
NPI:1114606548
Name:CALABRESE, NEAL A IV (DC)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:A
Last Name:CALABRESE
Suffix:IV
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 1:179 VREELAND AVE
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-2229
Mailing Address - Country:US
Mailing Address - Phone:201-600-6124
Mailing Address - Fax:
Practice Address - Street 1:22 SYLVAN ST STE 200
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2087
Practice Address - Country:US
Practice Address - Phone:201-508-1996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00798400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor