Provider Demographics
NPI:1568793503
Name:UNIVERSITY RENAL AND HYPERTENSION CONSULTANTS, LLC
Entity Type:Organization
Organization Name:UNIVERSITY RENAL AND HYPERTENSION CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SIMOES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-755-1585
Mailing Address - Street 1:390 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105-3125
Mailing Address - Country:US
Mailing Address - Phone:973-755-1585
Mailing Address - Fax:973-344-1167
Practice Address - Street 1:390 NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-3125
Practice Address - Country:US
Practice Address - Phone:973-755-1585
Practice Address - Fax:973-344-1167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty