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Organization
COMPREHENSIVE NEPHROLOGY OF NORTH JERSEY CORP
Active
Organization
COMPREHENSIVE NEPHROLOGY OF NORTH JERSEY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAEZE IBEABUCHI M.D. (M.D.)
(201) 225-4700
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 5258, BERGENFIELD, NJ 07621-5258
(201) 967-8425
(201) 263-4665
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA08621600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08621600
MEDICAL LICENSE
NJ
Enumeration date
04/13/2014
Last updated
04/13/2014
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