Organization · Type 2 NPI
Dva Healthcare of Pennsylvania LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Philadelphia, PA
NPI number
1659334985
Active
Practice location
3823 Market St
Philadelphia, PA 19104-3145
Fax (215) 823-6949
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 | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1659334985
Dva Healthcare of Pennsylvania LLC's National Provider Identifier is 1659334985, issued on Apr 8, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 16, 2025.