Organization
DUNELAND NEPHROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY MASON (PROJECT MANAGER)
(219) 531-2675
Entity
Organization
Contact information
Practice address
3100 VILLAGE POINT, SUITE 102, CHESTERTON, IN 46304-9689
(219) 395-1046
(219) 395-1570
Mailing address
3100 VILLAGE PT, SUITE 102, CHESTERTON, IN 46304-9689
(219) 395-1046
(219) 395-1570
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000485800
BC/BS
—
01
—
0007014704
AETNA
—
01
—
1788579
CIGNA
—
05
—
200825410
—
IN
01
—
DF2542
RAILROAD MEDICARE
—
Enumeration date
06/16/2006
Last updated
04/22/2021
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