Organization
PRODIGY DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE JOSEPH FREM MD (CEO & PRESIDENT)
(814) 248-9269
Entity
Organization
Contact information
Practice address
1111 FRANKLIN ST, SUITE 220, JOHNSTOWN, PA 15905-4330
(814) 539-0798
(814) 536-4751
Mailing address
1111 FRANKLIN ST, SUITE 220, JOHNSTOWN, PA 15905-4330
(814) 539-0798
(814) 536-4751
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2006
Last updated
08/22/2020
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