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Organization
THE NEPHROLOGY GROUP PA
Active
Organization
THE NEPHROLOGY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN VICTOR GOLDBLAT MD (PRESIDENT)
(973) 325-2103
Entity
Organization
Contact information
Practice address
111 NORTH FIELD AVENUE, SUITE 311, WEST ORANGE, NJ 07052-4703
(973) 325-2103
(973) 325-2254
Mailing address
111 NORTHFIELD AVENUE, SUITE 311, WEST ORANGE, NJ 07052-4703
(973) 325-2103
(973) 325-2254
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2650703
—
NJ
Enumeration date
03/02/2006
Last updated
09/28/2023
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