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Organization
METROPOLITAN NEPHROLOGY ASSOCIATES, PC
Active
Organization
METROPOLITAN NEPHROLOGY ASSOCIATES, PC
Active
Other names
Metro Vascular Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER MAXIMENKO MHA, RT (FACILITY ADMINISTRATOR)
(215) 568-6822
Entity
Organization
Contact information
Practice address
235 N BROAD ST, SUITE 100, PHILADELPHIA, PA 19107
(215) 568-6822
(215) 568-6833
Mailing address
235 N BROAD ST, SUITE 100, PHILADELPHIA, PA 19107-1511
(215) 568-6822
(215) 568-6833
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
22371501
PA
207RN0300X
Nephrology Physician
22371501
PA
2085R0204X
Vascular & Interventional Radiology Physician
22371501
PA
2086S0129X
Vascular Surgery Physician
22371501
PA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/02/2017
Last updated
07/25/2018
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