Organization · Type 2 NPI

Fresenius Medical Care Comprehensive CKD Services Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · East Stroudsburg, PA

NPI number 1619119757 Active

Practice location

125 S Courtland St, Ckd Services Of E. Stroudsburg
East Stroudsburg, PA 18301-2804

Call (570) 476-1606 Map

Fax (570) 476-5737

Mailing address

920 Winter St, Fmcna Ckd Services
Waltham, MA 02451-1521

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: 1619119757
Entity type: Organization (Type 2)
Issued: Apr 6, 2009
Last updated: Apr 6, 2009
Status: Active
Subpart: Yes of Fresenius Medical Care Holdings, Inc

Other names

<unavail>
CKD Services of E. Stroudsburg · doing business as

Authorized official

Mr. Mark Fawcett
VP, Treasurer
(781) 699-2668

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 1619119757

Fresenius Medical Care Comprehensive CKD Services Inc's National Provider Identifier is 1619119757, issued on Apr 6, 2009. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in East Stroudsburg, PA. The record was last updated on Apr 6, 2009.