Organization · Type 2 NPI

Dva Renal Healthcare Inc

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

NPI number 1346270782 Active

Practice location

230 Van Sciver Pkwy
Willingboro, NJ 08046-1131

Call (609) 871-3431 Map

Fax (609) 871-4122

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	23320 (NJ)

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

NPI record

NPI: 1346270782
Entity type: Organization (Type 2)
Issued: Jul 3, 2006
Last updated: Sep 19, 2024
Status: Active

Other names

<unavail>
Willingboro Dialysis · doing business as
Willingboro Dialysis · doing business as

Authorized official

Samuel Wey
VP, Licensure & Certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346270782

Dva Renal Healthcare Inc's National Provider Identifier is 1346270782, issued on Jul 3, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Willingboro, NJ. The record was last updated on Sep 19, 2024.