# PEDIATRIC NEPHROLOGY AT SAINT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245288000
- **Authorized official:** MR. PATRICK AHEARN (DIRECTOR)
- **Authorized official phone:** (732) 557-7119

## Contact information

- **Practice address:** 94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
- **Practice address phone:** (973) 322-5264
- **Practice address fax:** (973) 322-2315
- **Mailing address:** PO BOX 18239, NEWARK, NJ 07191-8239
- **Mailing address phone:** (732) 557-7160
- **Mailing address fax:** (732) 557-7109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0210X | Pediatric Nephrology Physician | — | NULL | Yes |
| 2080P0210X | Pediatric Nephrology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 06/23/2010