Provider Demographics
NPI:1437124468
Name:CALDER, TERRENCE M (MD)
Entity type:Individual
Prefix:
First Name:TERRENCE
Middle Name:M
Last Name:CALDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:250 FAME AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-1587
Mailing Address - Country:US
Mailing Address - Phone:717-632-5478
Mailing Address - Fax:717-633-0257
Practice Address - Street 1:250 FAME AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1587
Practice Address - Country:US
Practice Address - Phone:717-632-5478
Practice Address - Fax:717-633-0257
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD043475E207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01534501Medicaid
G10386Medicare UPIN
PA788297 SF0Medicare PIN