Provider Demographics
NPI:1518010370
Name:CALANDRILLO, JAMES JOHN (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JOHN
Last Name:CALANDRILLO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 HOSMER STREET
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749
Mailing Address - Country:US
Mailing Address - Phone:978-562-6129
Mailing Address - Fax:978-568-9196
Practice Address - Street 1:74 HOSMER ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749
Practice Address - Country:US
Practice Address - Phone:978-562-6129
Practice Address - Fax:978-568-9196
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA286111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
351196OtherHPHC
MAY39289OtherBCBS
351196OtherHPHC