Organization
HYPERTENSION NEPHROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR GHANTOUS M.D. (AUTHORIZING OFFICIAL)
(215) 657-2012
Entity
Organization
Contact information
Practice address
735 FITZWATERTOWN RD, #A, WILLOW GROVE, PA 19090-1338
(215) 657-2012
Mailing address
9 HIGHLAND AVE, FLOURTOWN, PA 19031-1612
(267) 736-1896
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
SP014624
PA
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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