Organization
CENTER FOR HOLISTIC & INTEGRATIVE MEDICINE
Active
Other names
CHI Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNALISA PASTORE MD (DIRECTOR, INTERNIST)
(201) 294-8405
Entity
Organization
Contact information
Practice address
60 GRAND AVE, ENGLEWOOD, NJ 07631-6583
(201) 294-8405
Mailing address
60 GRAND AVE, ENGLEWOOD, NJ 07631-6583
(201) 294-8405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08471600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003975616
INDIVIDUAL NPIN
—
Enumeration date
07/07/2009
Last updated
07/07/2009
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