Individual provider · NPI-1

Michael John Calimano, PA-C

Physician Assistant · Bryan, TX

NPI number1841538022
StatusActive
Last updated in NPPESAug 29, 2024

Details

NPI
1841538022
Entity type
Individual (NPI-1)
Name
Mr. Michael John Calimano
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Jan 23, 2013
Certification date
Aug 29, 2024
Last updated
Aug 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant25MP00299800NJYes

Practice location

2801 Franciscan Dr
Bryan, TX 77802-2544

Phone 732-874-2060

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792

Phone 732-807-0877 · Fax 201-751-1680

Other practice locations

19 Davis Ave Fl 4
Neptune, NJ 07753-4488

Phone 732-897-2300 · Fax 732-361-9386

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