Organization
NEPHROLOGY CONSULTANTS OF NJ, LLC.
Active
Other names
Nephrology Consultants of NJ, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL IMBRIANO (OWNER)
(732) 212-0051
Entity
Organization
Contact information
Practice address
19 HOLLY ST, CRANFORD, NJ 07016-2158
(908) 272-4711
(732) 212-0713
Mailing address
1050 GEORGE ST, APT: 6G, NEW BRUNSWICK, NJ 08901-1012
(917) 848-2318
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MB08272700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162850
—
NJ
Enumeration date
04/28/2009
Last updated
11/02/2009
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