Organization · Type 2 NPI
Braidwood Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Baltimore, MD
NPI number
1942623129
Active
Practice location
200 Saint Paul Pl, Suite 5
Baltimore, MD 21202-2004
Fax (410) 244-6405
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 | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1942623129
Braidwood Dialysis LLC's National Provider Identifier is 1942623129, issued on Jan 24, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Baltimore, MD. The record was last updated on Sep 22, 2014.