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Dr. Lowell T Taclob, MD
Nephrology Physician in Paterson, New Jersey
NPI 1164446209

Lowell T Taclob is a Nephrology Physician based in Paterson, NJ and is specialized in Nephrology. Lowell T Taclob practices in Paterson, NJ and has the professional credentials of MD. The NPI Number for Lowell T Taclob is 1164446209 and holds a License No. 25MA02844600 (New Jersey).

The current practice location address for Lowell T Taclob is 100 Main St, Paterson, NJ and can be reached out via phone at 973-523-0317 and via fax at 973-684-8590.

Location: 100 Main St, Paterson, NJ, 07505-1024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164446209
Provider Name
Lowell T Taclob
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Main St, Paterson, NJ, 07505-1024
Phone Number
973-523-0317
Fax Number
973-684-8590
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PSL00005300 01 NJ AMERICHOICE OF NJ
10908 01 AMERICAID
F04736 01 NJ HEALTHNET
0950301 05 NJ
1071330 01 NJ HORIZON NJ HEALTH
institution
Provider Business Practice Location Address Details
Address
100 Main St
City
Paterson
State
New Jersey
Zip
07505-1024
Phone Number
973-523-0317
Fax Number
973-684-8590
person
Provider Business Mailing Address Details
Address
100 Main St
City
Paterson
State
New Jersey
Zip
07505-1024
Phone Number
973-523-0317
Fax Number
973-684-8590
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
25MA02844600 (New Jersey)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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