| CHI Medicine | |
|
60 Grand Ave Englewood NJ 07631-6583 | |
| (201) 294-8405 | |
| Not Available |
| Full Name | CHI Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 60 Grand Ave, Englewood, New Jersey |
| Authorized Official Name and Position | Annalisa Pastore (DIRECTOR, INTERNIST) |
| Authorized Official Contact | 2012948405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| CHI Medicine 60 Grand Ave Englewood NJ 07631-6583 Ph: (201) 294-8405 | CHI Medicine 60 Grand Ave Englewood NJ 07631-6583 Ph: (201) 294-8405 |
| NPI Number | 1356570774 |
|---|---|
| Provider Enumeration Date | 07/07/2009 |
| Last Update Date | 07/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356570774 | NPI | - | NPPES |
| 1003975616 | Other | INDIVIDUAL NPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA08471600 (New Jersey) | Primary |
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