Provider Demographics
NPI:1700332053
Name:MACALUSO COMPASSIONATE CARE FOUNDATION
Entity Type:Organization
Organization Name:MACALUSO COMPASSIONATE CARE FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MACALUSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-580-5162
Mailing Address - Street 1:100 PASSAIC AVE
Mailing Address - Street 2:SUITE 245
Mailing Address - City:FAIRFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07004
Mailing Address - Country:US
Mailing Address - Phone:973-580-5162
Mailing Address - Fax:973-244-9112
Practice Address - Street 1:100 PASSAIC AVE
Practice Address - Street 2:SUITE 245
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004
Practice Address - Country:US
Practice Address - Phone:973-580-5162
Practice Address - Fax:973-244-9112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable