Organization · Type 2 NPI
Northeast Philadelphia Dialysis Center LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Philadelphia, PA
NPI number
1093229809
Active
Practice location
9815 Roosevelt Blvd Ste 1-A
Philadelphia, PA 19114-1035
Fax (215) 330-0495
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1093229809
Northeast Philadelphia Dialysis Center LLC's National Provider Identifier is 1093229809, issued on Dec 1, 2017. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2026.