Provider Demographics
NPI:1851854624
Name:CALIO, BRIAN PATRICK JR (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:PATRICK
Last Name:CALIO
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1025 WALNUT ST STE 1100
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5001
Mailing Address - Country:US
Mailing Address - Phone:215-955-1416
Mailing Address - Fax:215-923-1884
Practice Address - Street 1:833 CHESTNUT ST STE 703
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4409
Practice Address - Country:US
Practice Address - Phone:215-955-1000
Practice Address - Fax:215-503-2066
Is Sole Proprietor?:No
Enumeration Date:2019-04-09
Last Update Date:2020-07-30
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT218728208800000X
PA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program