Individual
CHOLI HARTONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 PROSPECT AVE STE 406, HACKENSACK, NJ 07601-1941
(551) 996-2608
(551) 996-0826
Mailing address
504-506 EAST 74TH STREET, 5TH FLOOR, NEW YORK, NY 10021-3486
(212) 249-4061
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
212801
NY
207RN0300X
Nephrology Physician
227574
MA
207RN0300X
Nephrology Physician
Primary
25MA12080600
NJ
Other
Enumeration date
05/03/2006
Last updated
03/11/2024
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