Organization · Type 2 NPI
Dva Healthcare of New London LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · New London, CT
NPI number
1679549273
Active
Practice location
5 Shaws Cv, Ste 100
New London, CT 06320-4974
Fax (860) 444-0802
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 | 0255 (CT) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1679549273
Dva Healthcare of New London LLC's National Provider Identifier is 1679549273, issued on Feb 24, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in New London, CT. The record was last updated on Nov 12, 2024.