Organization
ESSEX KIDNEY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R CHENITZ M.D. (MEDICAL DOCTOR-PRESIDENT)
(973) 624-4908
Entity
Organization
Contact information
Practice address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 624-4908
(973) 877-5595
Mailing address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 624-4908
(973) 877-5595
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA02177700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1161709
—
NJ
Enumeration date
01/27/2009
Last updated
04/29/2009
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