Organization
COMPREHENSIVE NEPHROLOGY OF NORTH JERSEY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAEZE IBEABUCHI M.D. (M.D.)
(201) 225-4700
Entity
Organization
Contact information
Practice address
230 E RIDGEWOOD AVE, BLDG 6 2ND FLOOR, PARAMUS, NJ 07652-4142
(201) 225-4700
(201) 225-4702
Mailing address
PO BOX 5258, BERGENFIELD, NJ 07621-5258
(201) 967-8425
(201) 263-4665
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA08621600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08621600
MEDICAL LICENSE
NJ
Enumeration date
04/13/2014
Last updated
04/13/2014
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