Kalemba, Johanna Marie Del'Re

Kalemba, Johanna Marie Del'Re is an individual health care provider with primary practice located at 455 Jack Martin Blvd , Brick NJ 08724-7732. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Kalemba, Johanna Marie Del'Re can be contacted via phone (732) 840-6500.

Contact Information

Primary practice address
455 Jack Martin Blvd Brick NJ 08724-7732
Fax: (732) 840-6459
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA06574500 New Jersey

Profile Details

NPI number 1154363943
LBN Legal business name Kalemba, Johanna Marie Del'Re
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jan 15th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154363943 NPPES
New Jersey MEDICAID 0001228

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