Individual provider · NPI-1
Barbara A Calavetta, PA-C
Physician Assistant · Wall Township, NJ
NPI number1760674667
StatusActive
Last updated in NPPESJun 15, 2020
Details
- NPI
- 1760674667
- Entity type
- Individual (NPI-1)
- Name
- Barbara A Calavetta
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2007
- Certification date
- Jun 15, 2020
- Last updated
- Jun 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00109700 | NJ | Yes |
| 363AS0400X | Physician Assistant, Surgical | 25MP00109700 | NJ |
Practice location
4810 Belmar BlvdWall Township, NJ 07753-6952
Phone 732-938-6090 · Fax 732-938-5680
Mailing address
2 Worlds Fair DrSomerset, NJ 08873-1369
Phone 732-537-0909 · Fax 732-564-9032
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