Organization · Type 2 NPI
Our Lady of Lourdes Medical Center
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Mount Laurel, NJ
NPI number
1174516280
Active
Practice location
130 Gaither Dr, Suite 172
Mount Laurel, NJ 08054-1715
Mailing address
100 Front St
Riverside, NJ 08075-1181
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 10404 (NJ) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
8 other providers at this address
- Persante Continuing Care IncDurable Medical Equipment & Medical Supplies Mount Laurel, NJ NPI 1245297563
- Persante Sleep Care, Inc.Specialist Mount Laurel, NJ NPI 1356398440
- Sleepcare Center Inc.Specialist Mount Laurel, NJ NPI 1164679445
- Surgical Center of South Jersey Limited PartnershipAmbulatory Surgical Clinic/Center Mount Laurel, NJ NPI 1689639692
- Tyler Dialysis LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Mount Laurel, NJ NPI 1760732408
- Erika Jones, CRNARegistered Nurse Mount Laurel, NJ NPI 1912064965
- Michelle Rufino, CRNARegistered Nurse Mount Laurel, NJ NPI 1336206184
- Phyllis Shetty, MDAnesthesiology Physician Mount Laurel, NJ NPI 1730245333
Other end-stage renal disease (esrd) treatment clinic/center providers in Mount Laurel
- Lourdes Dialysis at Innova, Inc.End-Stage Renal Disease (ESRD) Treatment Clinic/Center Mount Laurel, NJ NPI 1134373905
- Tyler Dialysis LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Mount Laurel, NJ NPI 1215287941
- Tyler Dialysis LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Mount Laurel, NJ NPI 1760732408
About NPI 1174516280
Our Lady of Lourdes Medical Center's National Provider Identifier is 1174516280, issued on Aug 24, 2005. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Mount Laurel, NJ. The record was last updated on Dec 7, 2007.