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Organization
RENAL ASSOCIATES, LLC
Active
Organization
RENAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY T REYNOLDS M.D. (PRINCIPAL)
(203) 752-0807
Entity
Organization
Contact information
Practice address
510 WASHINGTON AVE, NORTH HAVEN, CT 06473-1313
(203) 752-0807
(203) 752-0842
Mailing address
510 WASHINGTON AVE, NORTH HAVEN, CT 06473-1313
(203) 752-0807
(203) 752-0842
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
039093
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083600381
NPI NUMBER-INDIVIDUAL
CT
Enumeration date
03/12/2007
Last updated
08/22/2020
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