Organization
SOUTH MOUNTAIN NEPHROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY E DEFRANCO M.D. (PRESIDENT)
(973) 450-8999
Entity
Organization
Contact information
Practice address
5 FRANKLIN AVE, SUITE 401, BELLEVILLE, NJ 07109-3532
(973) 450-8999
Mailing address
5 FRANKLIN AVE, SUITE 401, BELLEVILLE, NJ 07109-3532
(973) 450-8999
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MA062557
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100081
—
NJ
Enumeration date
08/31/2006
Last updated
05/12/2009
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