Organization
PROVIDENCE KIDNEY & HYPERTENSION SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK BOATENG MD (MD)
(917) 826-2914
Entity
Organization
Contact information
Practice address
1406 DICKERSON ST, NEWARK, OH 43055-1844
(917) 926-2914
Mailing address
1406 DICKERSON ST, NEWARK, OH 43055-1844
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/03/2020
Last updated
10/13/2020
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