Provider Demographics
NPI:1639265705
Name:NEPHROLOGY-HYPERTENSION ASSOCIATES OF MORRIS COUNTY, PA
Entity Type:Organization
Organization Name:NEPHROLOGY-HYPERTENSION ASSOCIATES OF MORRIS COUNTY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:FINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-267-7673
Mailing Address - Street 1:2 FRANKLIN PL
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5305
Mailing Address - Country:US
Mailing Address - Phone:973-267-7673
Mailing Address - Fax:973-267-3270
Practice Address - Street 1:2 FRANKLIN PL
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-5305
Practice Address - Country:US
Practice Address - Phone:973-267-7673
Practice Address - Fax:973-267-3270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3032400Medicaid
NJ3032400Medicaid