Individual
DR. JAMES VINCENT AGRESTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
609 KENILWORTH BOULEVARD, KENILWORTH, NJ 07033-1616
(908) 272-0777
(908) 272-6064
Mailing address
609 KENILWORTH BOULEVARD, KENILWORTH, NJ 07033-1616
(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
10/03/2006
Last updated
07/08/2007
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