Organization · Type 2 NPI
Total Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Queenstown, MD
NPI number
1629496492
Active
Practice location
125 Shoreway Dr Ste 330
Queenstown, MD 21658-1683
Fax (410) 827-3148
Mailing address
5200 Virginia Way, L&c Department
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | E2689 (MD) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
About NPI 1629496492
Total Renal Care Inc's National Provider Identifier is 1629496492, issued on Mar 31, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Queenstown, MD. The record was last updated on Nov 29, 2023.