Provider Demographics
NPI:1437105723
Name:JOSEPH H CALHOUN MD PC
Entity Type:Organization
Organization Name:JOSEPH H CALHOUN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF CORP
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:H
Authorized Official - Last Name:CALHOUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-265-8393
Mailing Address - Street 1:677 W DEKALB PIKE
Mailing Address - Street 2:SUITE 13
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3065
Mailing Address - Country:US
Mailing Address - Phone:610-265-8393
Mailing Address - Fax:610-265-8393
Practice Address - Street 1:840 WALNUT ST
Practice Address - Street 2:SUITE 1210
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5109
Practice Address - Country:US
Practice Address - Phone:215-928-3245
Practice Address - Fax:215-928-3983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2155833000OtherKEYSTONE HEALTH PLAN EAST
PA2155833000OtherKEYSTONE HEALTH PLAN EAST