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Organization
COMPREHENSIVE NEPHROLOGY OF NORTHERN NEW JERSEY LLC
Active
Organization
COMPREHENSIVE NEPHROLOGY OF NORTHERN NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAEZE IBEABUCHI M.D. (M.D.)
(201) 967-8425
Entity
Organization
Contact information
Practice address
230 E RIDGEWOOD AVE, BLDG. 6 2ND FLOOR, PARAMUS, NJ 07652-4142
(201) 225-4700
(201) 225-4702
Mailing address
PO BOX 157, FRANKLIN LAKES, NJ 07417-0157
(201) 967-8425
(201) 263-4665
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA08621600
NJ
Other
Enumeration date
04/20/2015
Last updated
04/14/2016
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