| NPI | 1164451852 |
|---|---|
| Doing Business As | OLD BRIDGE DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL T WEY VP, Licensure & Certification 615-341-6691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NJ 22401) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2024-02-20 |