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Organization

CHRILL VISITING NURSE ASSOCIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS TIPALDI (PRESIDENT)
(973) 509-9870
Entity
Organization

Contact information

Practice address
60 S FULLERTON AVE, MONTCLAIR, NJ 07042-2632
(973) 509-9870
(973) 746-9629
Mailing address
60 S FULLERTON AVE, MONTCLAIR, NJ 07042-2632
(973) 509-9870
(973) 746-9629

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1097906
HORIZON NJ HEALTH
NJ
01
2391858
AETNA
NJ
05
7651902
NJ
Enumeration date
03/05/2007
Last updated
07/24/2008
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