Organization
KIDNEY HYPERTENSION CENTER ,LLC
Active
Other names
NONE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALUCA COYLE M.D. (CHIEF)
(973) 680-0400
Entity
Organization
Contact information
Practice address
733 BLOOMFIELD AVE, BLOOMFIELD, NJ 07003-2545
(973) 680-0400
(973) 680-0450
Mailing address
733 BLOOMFIELD AVE, BLOOMFIELD, NJ 07003-2545
(973) 680-0400
(973) 680-0450
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07375100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019259
—
NJ
Enumeration date
06/30/2006
Last updated
08/11/2011
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