Provider Demographics
NPI:1700632221
Name:GANDUGLIA PIROVANO, MARIA ALCIRA (LSW)
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:ALCIRA
Last Name:GANDUGLIA PIROVANO
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 BLOOMFIELD AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-7131
Mailing Address - Country:US
Mailing Address - Phone:973-852-8430
Mailing Address - Fax:
Practice Address - Street 1:1120 BLOOMFIELD AVE STE 200
Practice Address - Street 2:
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-7131
Practice Address - Country:US
Practice Address - Phone:973-852-8430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker