Organization
UNION COUNTY NEPHROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES VINCENT AGRESTI D.O. (PRESIDENT)
(908) 272-0777
Entity
Organization
Contact information
Practice address
609 BOULEVARD, KENILWORTH, NJ 07033-1639
(908) 272-0777
(908) 272-6064
Mailing address
609 BOULEVARD, KENILWORTH, NJ 07033-1639
(908) 272-0777
(908) 272-6064
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MB04626400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529102
—
NJ
Enumeration date
04/07/2011
Last updated
04/07/2011
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