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1972634996
ELLEN R DICHIARA
NUTLEY, NJ
NPI
1972634996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NJ 26NJ00075400)
Enumeration Date
2007-03-08
Last Update Date
2011-03-22
Business Address
MRS. ELLEN R DICHIARA APN-C
349 PASSAIC AVE
NUTLEY, NJ 07110-2738
Phone number: 973-667-8889
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Mailing Address
MRS. ELLEN R DICHIARA APN-C
76 MONONA AVE
RUTHERFORD, NJ 07070-1012
Phone number: 201-314-5525
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