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Individual

MRS. ELLEN R DICHIARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN-C

Contact information

Practice address
349 PASSAIC AVE, NUTLEY, NJ 07110-2738
(973) 667-8889
Mailing address
76 MONONA AVE, RUTHERFORD, NJ 07070-1012
(201) 314-5525

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00075400
NJ

Other

Enumeration date
03/08/2007
Last updated
03/22/2011
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