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Organization
KIDNEY AND HYPERTENSION SPECIALISTS, P.A.
Active
Organization
KIDNEY AND HYPERTENSION SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIS M. PRIORI MD (PRESIDENT)
(856) 455-6002
Entity
Organization
Contact information
Practice address
20 MAGNOLIA AVE, SUITE A, BRIDGETON, NJ 08302-1759
(856) 455-6002
(856) 455-6106
Mailing address
20 MAGNOLIA AVE, SUITE A, BRIDGETON, NJ 08302-1759
(856) 455-6002
(856) 455-6106
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000K04795
HEALTHNET
NJ
01
—
0415761001
AMERIHEALTH
—
01
—
1155117
HORIZON NJ HEALTH
—
05
—
7786603
—
NJ
01
—
91000472600
AMERICHOICE
—
01
—
CH2537
RAILROAD MEDICARE-PALMETTO
NJ
Enumeration date
07/02/2006
Last updated
07/30/2010
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