Organization
MODERN NEPHROLOGY & TRANSPLANT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMELIA L. BONOMINI (SECRETARY)
(973) 419-0417
Entity
Organization
Contact information
Practice address
767 NORTHFIELD AVE, WEST ORANGE, NJ 07052-1194
(973) 419-0417
(862) 766-5904
Mailing address
767 NORTHFIELD AVE, WEST ORANGE, NJ 07052-1194
(973) 419-0417
(862) 766-5904
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
08/21/2013
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