Provider Demographics
NPI:1538607544
Name:DELAWARE VALLEY NEPHROLOGY AND HYPERTENSION ASSOC PC
Entity type:Organization
Organization Name:DELAWARE VALLEY NEPHROLOGY AND HYPERTENSION ASSOC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCELHAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:267-385-5538
Mailing Address - Street 1:8120 OLD YORK RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1577
Mailing Address - Country:US
Mailing Address - Phone:215-887-1122
Mailing Address - Fax:215-887-2211
Practice Address - Street 1:250 YORKTOWN PLAZA
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027
Practice Address - Country:US
Practice Address - Phone:215-887-1122
Practice Address - Fax:215-887-2211
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DELAWARE VALLEY NEPHROLOGY AND HYPERTENSION ASSOC PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-09
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA1903X
PA261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical