Organization
COASTAL NEPHROLOGY AND HYPERTENSION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELIND R PANDYA DO (OWNER)
(609) 463-2755
Entity
Organization
Contact information
Practice address
15 VILLAGE DR, CAPE MAY COURT HOUSE, NJ 08210-1939
(609) 463-2755
Mailing address
PO BOX 56, CAPE MAY COURT HOUSE, NJ 08210-0056
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MB07515600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116629
—
NJ
01
—
DF7230
RAILROAD MEDICARE
NJ
Enumeration date
08/27/2006
Last updated
03/25/2008
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