Provider Demographics
NPI:1811975618
Name:CALEGA, VIRGINIA CATHERINE (MD)
Entity type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:CATHERINE
Last Name:CALEGA
Suffix:
Gender:F
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:PO BOX 890089
Mailing Address - Street 2:1800 CENTER ST
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17089-0089
Mailing Address - Country:US
Mailing Address - Phone:717-302-3054
Mailing Address - Fax:717-302-3053
Practice Address - Street 1:100 SENATE AVE
Practice Address - Street 2:6 NORTH
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2309
Practice Address - Country:US
Practice Address - Phone:717-302-3054
Practice Address - Fax:717-302-3053
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045517E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01203311Medicaid
608972LOUMedicare ID - Type Unspecified
E65183Medicare UPIN