Basic Information
| Provider Information | |||||||||
| NPI: | 1770643215 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CIRELLO | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 271 GROVE AVE | ||||||||
| Address2: | SUITE A | ||||||||
| City: | VERONA | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070441730 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9732398805 | ||||||||
| FaxNumber: | 9738573503 | ||||||||
| Practice Location | |||||||||
| Address1: | 271 GROVE AVE | ||||||||
| Address2: | SUITE A | ||||||||
| City: | VERONA | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070441730 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9732398805 | ||||||||
| FaxNumber: | 9738573503 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/12/2006 | ||||||||
| LastUpdateDate: | 02/17/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MA33426 | NJ | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.