| NPI | 1881798320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL RUSSO Corp. Director Of Finance 215-456-6611 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: PA 27601) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2011-06-06 |