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General NPI Number Information
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NPI Number | 1902844806
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Entity Type | Organization
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Legal Business Name | CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY, PC
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 51 N 39TH ST PRESBYTERIAN MEDICAL CENTER, 4 HVP
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City | PHILADELPHIA
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State | PA
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Zip | 19104-2640
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Country | US
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Telephone | 215-662-9189
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Fax | 215-243-4612
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Provider Business Mailing Address
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Address Line | 51 N 39TH ST PRESBYTERIAN MEDICAL CENTER, 4 HVP
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City | PHILADELPHIA
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State | PA
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Zip | 19104-2640
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Country | US
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Telephone | 215-662-9189
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Fax | 215-243-4612
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Authorized Official
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Title or Position | SR. ENROLLMENT MANAGER
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Name | STACY GRECO
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Credential |
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Telephone | 223-341-8516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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