Organization
KIDNEY AND HYPERTENSION SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIS M. PRIORI MD (PRESIDENT)
(856) 455-6002
Entity
Organization
Contact information
Practice address
20 MAGNOLIA AVE, SUITE A, BRIDGETON, NJ 08302-1759
(856) 455-6002
(856) 455-6106
Mailing address
20 MAGNOLIA AVE, SUITE A, BRIDGETON, NJ 08302-1759
(856) 455-6002
(856) 455-6106
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000K04795
HEALTHNET
NJ
01
—
0415761001
AMERIHEALTH
—
01
—
1155117
HORIZON NJ HEALTH
—
05
—
7786603
—
NJ
01
—
91000472600
AMERICHOICE
—
01
—
CH2537
RAILROAD MEDICARE-PALMETTO
NJ
Enumeration date
07/02/2006
Last updated
07/30/2010
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