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1972614022
SUBURBAN NEPHROLOGY GROUP PA
WAYNE, NJ
NPI
1972614022
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Entity Type
Organization
Authorized Contact
SAM RAE
Physician
973-389-1119
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2006-08-31
Last Update Date
2019-12-30
Business Address
SUBURBAN NEPHROLOGY GROUP PA
510 HAMBURG TPKE SUITE 108
WAYNE, NJ 07470-2025
Phone number: 973-389-1119
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Mailing Address
SUBURBAN NEPHROLOGY GROUP PA
510 HAMBURG TPKE SUITE 108
WAYNE, NJ 07470-2025
Phone number: 973-389-1119
Copy
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