Organization · Type 2 NPI

Kidney Life, LLC

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

NPI number 1093054629 Active

Practice location

541 Main St
Woodbridge, NJ 07095-1104

Fax (732) 750-0612

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...

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About NPI 1093054629

Kidney Life, LLC's National Provider Identifier is 1093054629, issued on Feb 1, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Woodbridge, NJ. The record was last updated on Mar 12, 2025.