| Renal Hypertension Associates Pa | |
|
100 Main St Paterson NJ 07505-1024 | |
| (973) 523-0317 | |
| (973) 684-8590 |
| Full Name | Renal Hypertension Associates Pa |
|---|---|
| Speciality | Clinic/center - End-stage Renal Disease (esrd) Treatment |
| Location | 100 Main St, Paterson, New Jersey |
| Authorized Official Name and Position | Lowell T Taclob (DOCTOR) |
| Authorized Official Contact | 9735230317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renal Hypertension Associates Pa 100 Main St Paterson NJ 07505-1024 Ph: (973) 523-0317 | Renal Hypertension Associates Pa 100 Main St Paterson NJ 07505-1024 Ph: (973) 523-0317 |
| NPI Number | 1912041229 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912041229 | NPI | - | NPPES |
| 1071331 | Other | NJ | HORIZON NJ HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 25MA02844600 (New Jersey) | Primary |
| 261QE0700X | Clinic/center - End-stage Renal Disease (esrd) Treatment | 25MA02844600 (New Jersey) | Primary |
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