| NPI | 1154910081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA ROTHENBERG President 732-806-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-11-08 |