Organization
COMPREHENSIVE NEPHROLOGY OF NORTHERN NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAEZE IBEABUCHI M.D. (M.D.)
(201) 967-8425
Entity
Organization
Contact information
Practice address
230 E RIDGEWOOD AVE, BLDG. 6 2ND FLOOR, PARAMUS, NJ 07652-4142
(201) 225-4700
(201) 225-4702
Mailing address
PO BOX 157, FRANKLIN LAKES, NJ 07417-0157
(201) 967-8425
(201) 263-4665
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA08621600
NJ
Other
Enumeration date
04/20/2015
Last updated
04/14/2016
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