Organization
METROPOLITAN NEPHROLOGY ASSOCIATES, PC
Active
Other names
Metro Vascular Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER MAXIMENKO MHA, RT (FACILITY ADMINISTRATOR)
(215) 568-6822
Entity
Organization
Contact information
Practice address
235 N BROAD ST, SUITE 100, PHILADELPHIA, PA 19107
(215) 568-6822
(215) 568-6833
Mailing address
235 N BROAD ST, SUITE 100, PHILADELPHIA, PA 19107-1511
(215) 568-6822
(215) 568-6833
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
22371501
PA
207RN0300X
Nephrology Physician
22371501
PA
2085R0204X
Vascular & Interventional Radiology Physician
22371501
PA
2086S0129X
Vascular Surgery Physician
22371501
PA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
07/25/2018
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