| NPI | 1255338455 |
|---|---|
| Former Legal Business Name | HAMILTON PARK RENAL DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | ALAN POLEVOY Controller 201-516-8564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NJ 23196) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2012-05-04 |