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NPI Code Detail

MEDICARE: MATTHEW R COIRO PHARMD

MEDICARE:   MATTHEW R COIRO  PHARMD
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
1183500000XPharmacist28RI03789900NJ

General Provider Information

NPI Number : 1841893112
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW R COIRO PHARMD
Provider Business Mailing Address
First Line : 24-12 FAIR LAWN AVE
Second Line :
City : FAIR LAWN
State : NJ
Zip : 07410-3401
Country : US
Telephone Number : 201-797-7500
Fax Number : 201-475-1937
Provider Business Practice Location Address
First Line : 24-12 FAIR LAWN AVE
Second Line :
City : FAIR LAWN
State : NJ
Zip : 07410-3401
Country : US
Telephone Number : 201-797-7500
Fax Number : 201-475-1937
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2020
Last Update Date : 11/19/2020

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Directions to “ MATTHEW R COIRO PHARMD” Practice Location

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