Individual
MATTHEW CIAVARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
695 US HIGHWAY 46 STE 100, FAIRFIELD, NJ 07004-1561
(201) 704-7473
Mailing address
104 ALBANY AVE, POMPTON LAKES, NJ 07442-1923
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03950200
NJ
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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