Organization
THE RENAL CARE CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKSHMI LAVANYA SODAGUM M.D. (PRESIDENT)
(973) 579-5009
Entity
Organization
Contact information
Practice address
67 HIGH ST, SUITE 102, NEWTON, NJ 07860-1705
(973) 579-5009
(973) 579-3009
Mailing address
PO BOX 535, BUDD LAKE, NJ 07828
(973) 579-5009
(973) 579-3009
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/21/2005
Last updated
04/27/2010
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