Organization
RENAL CENTER OF SEWELL, LLC
Active
Other names
Renal Center of Sewell
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
660 WOODBURY GLASSBORO RD, STE 29, SEWELL, NJ 08080-3738
(856) 464-1172
(856) 464-5281
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6410
(888) 662-8259
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
007962
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8989001
—
NJ
Enumeration date
07/12/2006
Last updated
01/10/2024
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