| NPI | 1619907417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY EDISS Government Billing Supervisor 856-575-4742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-05-30 |