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Organization
LUCA DE SIMONE KIDNEY DISEASE SPECIALISTS LLC
Active
Organization
LUCA DE SIMONE KIDNEY DISEASE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCA DE SIMONE M.D. (OWNER)
(732) 205-1977
Entity
Organization
Contact information
Practice address
102 JAMES ST, SUITE 302, EDISON, NJ 08820-3970
(732) 205-1977
(732) 205-0052
Mailing address
87 JACKSON ST APT 4D, HOBOKEN, NJ 07030-6083
(732) 397-2909
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA07410900
NJ
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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