Provider Demographics
NPI:1720219140
Name:BRUNSWICK NEPHROLOGY AND HYPERTENSION LLC
Entity type:Organization
Organization Name:BRUNSWICK NEPHROLOGY AND HYPERTENSION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMANNA
Authorized Official - Middle Name:H
Authorized Official - Last Name:KALRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-284-9794
Mailing Address - Street 1:41 STANLEY AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08810-1352
Mailing Address - Country:US
Mailing Address - Phone:732-284-9794
Mailing Address - Fax:
Practice Address - Street 1:41 STANLEY AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:NJ
Practice Address - Zip Code:08810-1352
Practice Address - Country:US
Practice Address - Phone:732-284-9794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty