| Organization Name: | CALONSHAH MD LLC |
| NPI Number: | 1861544157 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARITONI CALON (OWNER) |
| Mailing Address: | 300b Princton Hightstown Rd Suite # 201 Hightstown |
| State: | NJ US |
| Postal Code: | 08520 |
| Phone Number: | 6094487300 |
| Fax Number: | 6094488022 |
| NPI Enumeration Date: | 01/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0000X |
| License Number: | MA072698 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |