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Organization
NEPHROLOGY ASSOCIATES PA
Active
Organization
NEPHROLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN F GAVIN D.O. (PRESIDENT)
(302) 225-0451
Entity
Organization
Contact information
Practice address
4923 OGLETOWN STANTON RD, SUITE 200, NEWARK, DE 19713-2081
(032) 225-0451
(302) 225-0472
Mailing address
4923 OGLETOWN STANTON RD, SUITE 200, NEWARK, DE 19713-2081
(032) 225-0451
(302) 225-0472
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000078002
—
DE
05
—
788161400
—
MD
05
—
8818401
—
NJ
Enumeration date
05/09/2006
Last updated
10/13/2021
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