Organization
HOLY NAME HOSPITAL REGIONAL DIALYSIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE JULIANO (DIRECTOR, DIALYSIS CENTER)
(201) 833-3000
Entity
Organization
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3000
(201) 833-4486
Mailing address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3000
(201) 833-4486
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
—
4135407
—
NJ
Enumeration date
11/08/2006
Last updated
07/13/2007
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