Organization
CUMBERLAND NEPHROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY DAMICO (OFFICE MANAGER)
(856) 205-9900
Entity
Organization
Contact information
Practice address
1318 S MAIN RD, BUILDING #3, VINELAND, NJ 08360-6516
(856) 205-9900
(856) 205-0041
Mailing address
1318 S MAIN RD, BUILDING #3, VINELAND, NJ 08360-6516
(856) 205-9900
(856) 205-0041
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0685688000
AMERIHEALTH HMO
—
01
—
1012159
AETNA HMO
—
01
—
110035388
AARP
—
01
—
360907
KEYSTONE
—
01
—
5414616
AETNA PPO
—
05
—
7583702
—
NJ
Enumeration date
03/16/2006
Last updated
08/22/2020
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