Organization
UNIVERSITY NEPHROLOGY ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH M WEISSTUCH M.D. (ADMINISTRATOR)
(212) 263-0705
Entity
Organization
Contact information
Practice address
530 1ST AVE, SUITE 4B, NEW YORK, NY 10016-6402
(212) 263-0705
(212) 263-0704
Mailing address
530 1ST AVE, SUITE 4B, NEW YORK, NY 10016-6402
(212) 263-0705
(212) 263-0704
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UN0W339610
BLUE SHIELD
—
Enumeration date
08/14/2006
Last updated
08/22/2020
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