NORTH JERSEY AIDS ALLIANCE NPI 1982122545

NPI Information

NORTH JERSEY AIDS ALLIANCE is a rehabilitation and substance use disorder clinic center in Newark, NJ. NORTH JERSEY AIDS ALLIANCE NPI is 1982122545. The provider is registered as an organization entity type.
The provider Is Doing Business As Njcri.

The provider's business location address is:

393 CENTRAL AVENUE C/O COREY DESTEFANO
NEWARK, NJ
ZIP 07103
Phone: (973) 483-3444
Fax: (973) 648-0312

The provider's authorized official is Corey Destefano .
The authorized official title is Clinical Director and has the following contact phone number (973) 483-3444.

The enumeration date for this NPI number is 9/5/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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