Organization
THALODY MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
USA THALODY MD (MEMBER)
(908) 352-0560
Entity
Organization
Contact information
Practice address
240 WILLIAMSON ST, SUITE 400, ELIZABETH, NJ 07202-3672
(908) 352-0560
(908) 352-4066
Mailing address
240 WILLIAMSON ST, SUITE 400, ELIZABETH, NJ 07202-3672
(908) 352-0560
(908) 352-4066
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222232676
TAX ID
NJ
05
—
7258607
—
NJ
Enumeration date
12/12/2006
Last updated
02/01/2019
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