Organization
SUBURBAN NEPHROLOGY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM RAE MD (PHYSICIAN)
(973) 389-1119
Entity
Organization
Contact information
Practice address
510 HAMBURG TPKE, SUITE 108, WAYNE, NJ 07470-2025
(973) 389-1119
(973) 389-1145
Mailing address
510 HAMBURG TPKE, SUITE 108, WAYNE, NJ 07470-2025
(973) 389-1119
(973) 389-1145
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NJ
Other
Enumeration date
08/31/2006
Last updated
12/30/2019
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