Pacific Nephrology Group a Professional Medical Corporation
NPI #1609190529 in Glen Rock, Pennsylvania
Provider Information
- NPI Number
- 1609190529
- Entity Type
- Organization
- Organization Name
- Pacific Nephrology Group a Professional Medical Corporation
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Mar 22, 2010
- Last Updated
- May 28, 2010
Practice Location
- Address
- 182 INDUSTRIAL RD
- City
- Glen Rock
- State
- Pennsylvania
- ZIP Code
- 17327-8626
- Phone
- (717) 235-9352
Authorized Official
- Name
- SALAM ISHAK, MD
- Title
- OWNER
- Phone
- (619) 219-1161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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