Organization
RENAL MEDICINE ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PATRICIA FOUGERE (OFFICE MANAGER)
(201) 646-0414
Entity
Organization
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3223
(201) 833-7090
Mailing address
302 UNION ST, HACKENSACK, NJ 07601-4303
(201) 646-0414
(201) 646-0365
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2665204
—
NJ
Enumeration date
05/26/2006
Last updated
04/04/2012
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