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Coram Alternate Site Services Inc — NPI 1063432672, Fairfield, NJ | NPI Central

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NPI 1063432672

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Coram Alternate Site Services Inc

NPI 1063432672 · Home Infusion Agency · Fairfield, NJ

Provider details

NPI number: 1063432672
Entity type: Organization
Primary specialty: Home Infusion AgencyAgencies
Parent organization: Coram Alternate Site Services Inc
Organization subpart: Yes
Authorized official: Tricia Lacavich, President(314) 306-3255
License: HP0218401 (NJ)

Specialties & taxonomies

Home Infusion AgencyPrimary251F00000XLicense HP0218401 (NJ)
Agencies
Home Health Agency251E00000XLicense HP0218401 (NJ)
Agencies

Practice location

180 Passaic Ave

Fairfield, NJ 07004-3516

Phone: (973) 756-5963

Approximate (ZIP-level) locationGet directions

More NJ providers

Mailing address

Po Box 809160

Chicago, IL 60680-9160

Other names (DBA / former)

Doing business as: Coram Cvs/Specialty Infusion Services
Doing business as: Coram Cvs/Specialty Infusion Services

Registry dates

Enumerated: 2006-07-20
Last updated: 2023-03-07
Certified: 2022-12-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.