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Organization
ESSEX RENAL & MEDICAL GROUP,LLC
Active
Organization
ESSEX RENAL & MEDICAL GROUP,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POOJA MALHOTRA MD (PRESIDENT)
(973) 762-4720
Entity
Organization
Contact information
Practice address
511 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2636
(973) 762-4720
(973) 762-3731
Mailing address
707 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2698
(973) 762-4720
(973) 762-3731
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA28189
NJ
207RN0300X
Nephrology Physician
Primary
MA28189
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023477
—
NJ
Enumeration date
06/10/2006
Last updated
07/11/2022
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