Organization
LUCA DE SIMONE KIDNEY DISEASE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCA DE SIMONE M.D. (OWNER)
(732) 205-1977
Entity
Organization
Contact information
Practice address
102 JAMES ST, SUITE 302, EDISON, NJ 08820-3970
(732) 205-1977
(732) 205-0052
Mailing address
87 JACKSON ST APT 4D, HOBOKEN, NJ 07030-6083
(732) 397-2909
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA07410900
NJ
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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