Organization
PHILADELPHIA HYPERTENSION & NEPHROLOGY CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA DUBYANSKITE MD (PRESIDENT)
(215) 331-0515
Entity
Organization
Contact information
Practice address
2701 HOLME AVE, STE 203, PHILADELPHIA, PA 19152
(215) 331-0515
(215) 331-8144
Mailing address
2701 HOLME AVE, STE 203, PHILADELPHIA, PA 19152
(215) 331-0515
(215) 331-8144
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018473550031
—
PA
01
—
0434926000
KEYSTONE
PA
01
—
619346
BLUE SHIELD
PA
Enumeration date
10/17/2006
Last updated
07/08/2010
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