| NPI | 1669873568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA ROTHENBERG Manager 732-806-9968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |