Provider Demographics
NPI:1487887485
Name:CATHOLIC CHARITIES OF THE ARCH OF NEWARK
Entity type:Organization
Organization Name:CATHOLIC CHARITIES OF THE ARCH OF NEWARK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:DAUL
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:973-266-7998
Mailing Address - Street 1:590 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07107-2522
Mailing Address - Country:US
Mailing Address - Phone:973-266-7998
Mailing Address - Fax:201-265-3809
Practice Address - Street 1:415 5TH AVE
Practice Address - Street 2:
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-1231
Practice Address - Country:US
Practice Address - Phone:201-265-3840
Practice Address - Fax:201-265-3809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care