Organization
HYPERTENSION CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ODLER R JEANLOUIE MD (OWNER)
(973) 731-1919
Entity
Organization
Contact information
Practice address
60 NORTHFIELD AVE, WEST ORANGE, NJ 07052-5336
(973) 731-1919
Mailing address
60 NORTHFIELD AVE, WEST ORANGE, NJ 07052-5336
(973) 731-1919
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MA61755
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7910304
—
NJ
Enumeration date
05/27/2006
Last updated
05/09/2008
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