Provider Demographics
NPI:1598862617
Name:CALHOUN, SEAN K (DO)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:K
Last Name:CALHOUN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10 LANIDEX PLZ W
Mailing Address - Street 2:SUITE 125
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-2715
Mailing Address - Country:US
Mailing Address - Phone:973-267-1274
Mailing Address - Fax:973-267-2912
Practice Address - Street 1:100 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6136
Practice Address - Country:US
Practice Address - Phone:973-267-1274
Practice Address - Fax:973-267-2912
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB072998002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0044504Medicaid
NJH60598Medicare UPIN
NJ0044504Medicaid