Provider Demographics
NPI:1861775686
Name:CALAMITO, THANH DO
Entity type:Individual
Prefix:DR
First Name:THANH
Middle Name:DO
Last Name:CALAMITO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 STAFFORD PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:STAFFORD TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2734
Mailing Address - Country:US
Mailing Address - Phone:609-242-2020
Mailing Address - Fax:
Practice Address - Street 1:245 STAFFORD PARK BLVD
Practice Address - Street 2:
Practice Address - City:STAFFORD TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08050-2734
Practice Address - Country:US
Practice Address - Phone:609-242-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03043200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist