| NPI | 1083898787 |
|---|---|
| Doing Business As | KEYSTONE KIDNEY CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A DERNOGA Exec. Director 215-675-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 15331501) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |