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Organization
RIVERBANK INPATIENT MEDICAL ASSOCIATES LLC
Active
Organization
RIVERBANK INPATIENT MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(469) 401-2386
Mailing address
13737 NOEL RD, #1600, DALLAS, TX 75240-1331
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/13/2017
Last updated
01/11/2021
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