Providence Kidney & Hypertension Specialists LLC

NPI #1821695826 in Newark, Ohio

Provider Information

NPI Number
1821695826
Entity Type
Organization
Organization Name
Providence Kidney & Hypertension Specialists LLC
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Oct 3, 2020
Last Updated
Oct 13, 2020

Practice Location

Address
1406 DICKERSON ST
City
Newark
State
Ohio
ZIP Code
43055-1844
Phone
(917) 926-2914

Authorized Official

Name
FRANK BOATENG, MD
Title
MD
Phone
(917) 826-2914

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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