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Organization
DU BOIS NEPHROLOGY ASSOCIATES, PC
Active
Organization
DU BOIS NEPHROLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJEEV ANAND MD (PRESIDENT)
(814) 371-7590
Entity
Organization
Contact information
Practice address
190 W PARK AVE, DU BOIS, PA 15801-2277
(814) 371-7590
(814) 371-7579
Mailing address
190 W PARK AVE, DU BOIS, PA 15801-2277
(814) 371-7590
(814) 371-7579
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
NULL
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1549301
HIGHMARK BLUE SHIELD
PA
01
—
DE5580
RAILROAD MEDICARE
—
Enumeration date
06/04/2006
Last updated
11/07/2007
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