Provider Demographics
NPI:1114910262
Name:CALVO, ROBERT C (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:C
Last Name:CALVO
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 1:218C SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-1104
Mailing Address - Country:US
Mailing Address - Phone:609-877-0400
Mailing Address - Fax:609-877-1682
Practice Address - Street 1:218C SUNSET RD
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-1104
Practice Address - Country:US
Practice Address - Phone:609-877-0400
Practice Address - Fax:609-877-1682
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02156300207R00000X, 207RH0000X
PAMD010041E207R00000X, 207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ007517000OtherAMERIHEALTH/KEYSTONE/IBC
NJ18955OtherUNIVERISTY HEALTH PLAN
NJP3597668OtherOXFORD
NJ3817511OtherAETNA
NJ60028518OtherHORIZON NJ HEALTH
NJ3K5920OtherHEALTHNET, INC
NJ897967OtherUNITED HEALTH CARE
NJ1501801Medicaid
NJ897967OtherUNIVERISTY HEALTH PLAN
NJ058086OtherAMERIHEALTH PPO/PABS
NJ0913444OtherCIGNA
NJ60028518OtherHORIZON NJ HEALTH
NJ1501801Medicaid