NPI | 1104102839 |
---|---|
Doing Business As | FREEDOM HOME DIALYSIS |
Entity Type | Organization |
Authorized Contact | BRANISLAV S ROMANIC Owner And Medical Director 301-663-9570 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: MD E2661) |
Enumeration Date | 2011-10-26 |
Last Update Date | 2011-10-26 |