Organization
LYONS AND CHVALA NEPHROLOGY ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN E OWEN (BILLING MANAGER)
(856) 384-0238
Entity
Organization
Contact information
Practice address
730 N BROAD ST, SUITE 101, WOODBURY, NJ 08096-1796
(856) 384-0238
(856) 384-4788
Mailing address
730 N BROAD ST, SUITE 101, WOODBURY, NJ 08096-1796
(856) 384-0238
(856) 384-4788
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MA07132600
NJ
207RN0300X
Nephrology Physician
MA34314
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8323500
—
NJ
Enumeration date
09/21/2007
Last updated
09/21/2007
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