Provider Demographics
NPI:1114907615
Name:CALVERT FAMILY PRACTICE ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:CALVERT FAMILY PRACTICE ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SCHLAGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-535-4488
Mailing Address - Street 1:110 HOSPITAL RD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-4019
Mailing Address - Country:US
Mailing Address - Phone:410-535-4488
Mailing Address - Fax:410-535-6131
Practice Address - Street 1:110 HOSPITAL RD
Practice Address - Street 2:SUITE 111
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-4019
Practice Address - Country:US
Practice Address - Phone:410-535-4488
Practice Address - Fax:410-535-6131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty