Organization · Type 2 NPI
Dva Healthcare of Maryland LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Baltimore, MD
NPI number
1023077328
Active
Practice location
920 E 25th St
Baltimore, MD 21218-5503
Fax (410) 235-3721
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | E2595 (MD) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1023077328
Dva Healthcare of Maryland LLC's National Provider Identifier is 1023077328, issued on Mar 23, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Baltimore, MD. The record was last updated on Dec 6, 2021.