Organization · Type 2 NPI

Dialysis Services of NJ Inc-Manahawkin

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

NPI number 1417910902 Active

Practice location

675 Route 72 E, Suite 1006-B
Manahawkin, NJ 08050-3501

Call (609) 978-6723 Map

Fax (609) 978-6730

Mailing address

PO Box 19119
Jonesboro, AR 72403-6601

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: 1417910902
Entity type: Organization (Type 2)
Issued: Apr 7, 2006
Last updated: Jun 21, 2018
Status: Active
Subpart: Yes of U S Renal Care Inc

Other names

<unavail>
U S Renal Care Manahawkin Dialysis · doing business as

Authorized official

Mr. Thomas L Weinberg
Vice President & Secretary
(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 1417910902

Dialysis Services of NJ Inc-Manahawkin's National Provider Identifier is 1417910902, issued on Apr 7, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Manahawkin, NJ. The record was last updated on Jun 21, 2018.