Provider Demographics
NPI:1194744284
Name:MONTGOMERY NEPHROLOGY & HYPERTENSION ASSOCIATES
Entity type:Organization
Organization Name:MONTGOMERY NEPHROLOGY & HYPERTENSION ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:C
Authorized Official - Last Name:MANNING
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:908-904-9055
Mailing Address - Street 1:719 US HIGHWAY 206
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-1529
Mailing Address - Country:US
Mailing Address - Phone:908-904-9055
Mailing Address - Fax:908-904-9069
Practice Address - Street 1:719 US HIGHWAY 206
Practice Address - Street 2:SUITE 100
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-1529
Practice Address - Country:US
Practice Address - Phone:908-904-9055
Practice Address - Fax:908-904-9069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1104826718OtherNPI