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Organization
DIALYSIS CLINIC INC.
Active
Organization
DIALYSIS CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
105 N CENTER DR, NORTH BRUNSWICK, NJ 08902-4909
(732) 940-1029
(732) 422-0473
Mailing address
1633 CHURCH ST, SUITE 500, PHYSICIAN PRACTICE DIVISION, NASHVILLE, TN 37203-2990
(615) 327-3061
(615) 329-2513
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6615007
—
NJ
Enumeration date
06/22/2012
Last updated
10/04/2023
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