Organization
NAVARRO DIALYSIS LLC
Active
Other names
Matawan Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
764 HIGHWAY 34, STE A, MATAWAN, NJ 07747-6614
(732) 583-1085
(732) 566-3632
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0477265
—
NJ
Enumeration date
07/02/2014
Last updated
07/08/2024
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