Organization
NEW JERSEY KIDNEY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN VALLE (PRESIDENT)
(781) 699-9362
Entity
Organization
Contact information
Practice address
26 GREENVILLE AVE, JERSEY CITY, NJ 07305-2608
(201) 333-8222
(201) 333-0095
Mailing address
26 GREENVILLE AVE, JERSEY CITY, NJ 07305-2608
(201) 333-8222
(201) 333-0095
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0595594
—
NJ
Enumeration date
11/04/2016
Last updated
07/24/2024
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