Provider Demographics
NPI:1437234648
Name:CALALANG, CAROLYN C (MD)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:C
Last Name:CALALANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:C
Other - Last Name:CALALANG-SCHNELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12 NEWBURYPORT RD
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-1556
Mailing Address - Country:US
Mailing Address - Phone:215-860-4110
Mailing Address - Fax:267-295-8208
Practice Address - Street 1:1 PLAINSBORO ROAD
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536
Practice Address - Country:US
Practice Address - Phone:609-853-7450
Practice Address - Fax:609-683-6899
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA008863174400000X
PAMD448005207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG79861Medicare UPIN
NJ008863Medicare ID - Type Unspecified