Provider Demographics
NPI:1962636498
Name:KALDANY, HERBERT ANTHONY (DO)
Entity type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:ANTHONY
Last Name:KALDANY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1930 MARLTON PIKE E
Mailing Address - Street 2:EXECUTIVE MEWS SUITE M - 69
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2150
Mailing Address - Country:US
Mailing Address - Phone:856-816-4167
Mailing Address - Fax:856-874-9801
Practice Address - Street 1:1930 MARLTON PIKE E
Practice Address - Street 2:EXECUTIVE MEWS SUITE M - 69
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2150
Practice Address - Country:US
Practice Address - Phone:856-816-4167
Practice Address - Fax:856-874-9801
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB059595002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
G22225Medicare UPIN