Healthcare Provider Details

I. General information

NPI: 1417900630
Provider Name (Legal Business Name): METROPOLITAN NEPHROLOGY ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 09/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4453 CASTOR AVE SUITE B
PHILADELPHIA PA
19124-3846
US

IV. Provider business mailing address

4453 CASTOR AVE B
PHILADELPHIA PA
19124-3846
US

V. Phone/Fax

Practice location:
  • Phone: 215-744-2266
  • Fax: 215-743-9247
Mailing address:
  • Phone: 215-744-2266
  • Fax: 215-743-9247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. BIANCA M CURNANE
Title or Position: OFFICE MANAGER
Credential:
Phone: 215-744-2266