| Community Healthcare Initiative Program, Pc | |
|
570 Park Ave East Orange NJ 07017-1904 | |
| (973) 672-8573 | |
| (973) 675-0040 |
| Full Name | Community Healthcare Initiative Program, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 570 Park Ave, East Orange, New Jersey |
| Authorized Official Name and Position | Alexander G Salerno (PRESIDENT) |
| Authorized Official Contact | 9736722455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Healthcare Initiative Program, Pc 613 Park Ave East Orange NJ 07017-1905 Ph: (973) 672-2455 | Community Healthcare Initiative Program, Pc 570 Park Ave East Orange NJ 07017-1904 Ph: (973) 672-8573 |
| NPI Number | 1447650130 |
|---|---|
| Provider Enumeration Date | 08/29/2014 |
| Last Update Date | 08/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447650130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07308500 (New Jersey) | Primary |
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