Organization
LYONS-CHVALA NEPHROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTEN E OWEN (OFFICE MANAGER)
(215) 751-0606
Entity
Organization
Contact information
Practice address
231 N BROAD ST, 3RD FLOOR, PHILADELPHIA, PA 19107-1511
(215) 751-0606
(215) 751-0506
Mailing address
730 N BROAD ST, SUITE 101, WOODBURY, NJ 08096-1796
(856) 384-0238
(856) 384-4788
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD014096E
PA
174400000X
Specialist
MD025096E
PA
174400000X
Specialist
Primary
MD420924
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000694716000
—
PA
05
—
000807140000
—
PA
05
—
1016204420001
—
PA
05
—
8323500
—
NJ
Enumeration date
09/20/2006
Last updated
07/13/2016
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