Organization
PRINCETON KIDNEY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALANIE MENDIS MD (OWNER)
(908) 787-5103
Entity
Organization
Contact information
Practice address
10 FORRESTAL ROAD SOUTH, SUITE 100, PRINCETON, NJ 08540
(908) 787-5103
(732) 641-2043
Mailing address
PO BOX 7475, MONROE TOWNSHIP, NJ 08831-7474
(908) 787-5103
(732) 641-2043
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA08631100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215821
—
NJ
Enumeration date
11/21/2013
Last updated
11/21/2013
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