Organization · Type 2 NPI
Sprague Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bridgeton, NJ
NPI number
1639613649
Active
Practice location
333 Irving Ave
Bridgeton, NJ 08302-2123
Fax (856) 453-0174
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 | 25050 (NJ) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1639613649
Sprague Dialysis LLC's National Provider Identifier is 1639613649, issued on Dec 9, 2016. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Bridgeton, NJ. The record was last updated on Jun 15, 2026.