Organization · Type 2 NPI

Usrc Gloucester, LLC

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

NPI number 1356963938 Active

Practice location

601 Berlin Cross Keys Rd
Sicklerville, NJ 08081-9563

Call (848) 202-3080 Map

Fax (848) 202-3324

Mailing address

PO Box 639939
Cincinnati, OH 45263-9939

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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NPI record

NPI: 1356963938
Entity type: Organization (Type 2)
Issued: May 18, 2020
Last updated: May 18, 2020
Status: Active
Subpart: Yes of U.s. Renal Care, Inc.

Other names

U.s. Renal Care Gloucester Dialysis · doing business as

Authorized official

Thomas L. Weinberg
President and Chairman
(214) 736-2700

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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 1356963938

Usrc Gloucester, LLC's National Provider Identifier is 1356963938, issued on May 18, 2020. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Sicklerville, NJ. The record was last updated on May 18, 2020.