Provider Demographics
NPI:1619245735
Name:DIALYSIS SEMINARS AND SUPPORT GROUP OF NEW JERSEY, INC.
Entity Type:Organization
Organization Name:DIALYSIS SEMINARS AND SUPPORT GROUP OF NEW JERSEY, INC.
Other - Org Name:KIDNEY DIALYSIS SEMINARS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:SALVATORE
Authorized Official - Last Name:PANTALONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-546-1550
Mailing Address - Street 1:5 HEARNE DR
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08007-1434
Mailing Address - Country:US
Mailing Address - Phone:856-546-1550
Mailing Address - Fax:856-546-1550
Practice Address - Street 1:5 HEARNE DR
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08007-1434
Practice Address - Country:US
Practice Address - Phone:256-546-1550
Practice Address - Fax:856-546-1550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-03
Last Update Date:2011-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty