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Organization

ADVANCED KIDNEY CARE AND HYPERTENSION OF SOUTH JERSEY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ARUN CHAWLA MD, MBBS (MANAGING MEMBER)
(856) 873-2066
Entity
Organization

Contact information

Practice address
777 S WHITE HORSE PIKE STE B3, HAMMONTON, NJ 08037-2029
(856) 873-2066
Mailing address
777 S WHITE HORSE PIKE STE B3, HAMMONTON, NJ 08037-2029
(856) 873-2066

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0450715425
DEPARTMENT OF TREASURY
NJ
Enumeration date
01/03/2022
Last updated
05/24/2023
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