MEDICARE: MR. EUGENE P PIERINELLI PH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	28RI01700500	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740500370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EUGENE P PIERINELLI PH.

Provider Business Mailing Address
First Line	:	418 RIVER ST
Second Line	:
City	:	PATERSON
State	:	NJ
Zip	:	07524-1902
Country	:	US
Telephone Number	:	973-279-0200
Fax Number	:	973-279-7200

Provider Business Practice Location Address
First Line	:	418 RIVER ST
Second Line	:
City	:	PATERSON
State	:	NJ
Zip	:	07524-1902
Country	:	US
Telephone Number	:	973-279-0200
Fax Number	:	973-279-7200

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2010
Last Update Date	:	05/25/2011

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