Organization
KIDNEY SPECIALTY CLINIC P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS JARDIEL TALON M.D. (PRESIDENT/OWNER)
(973) 300-1289
Entity
Organization
Contact information
Practice address
222 HIGH ST, SUITE 206, NEWTON, NJ 07860-9604
(973) 300-1289
(973) 300-9573
Mailing address
222 HIGH ST, SUITE 206, NEWTON, NJ 07860-9604
(973) 300-1289
(973) 300-9573
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
10/09/2007
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