Organization · Type 2 NPI

Kidney Life, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Newark, NJ

NPI number 1063665586 Active

Practice location

571 Central Ave
Newark, NJ 07107-1463

Fax (973) 484-4434

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1063665586

Kidney Life, LLC's National Provider Identifier is 1063665586, issued on Oct 28, 2008. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Newark, NJ. The record was last updated on Dec 29, 2020.