Organization
RENAL TREATMENT CENTERS - MID-ATLANTIC, INC.
Active
Other names
Oregon Avenue Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
40 E OREGON AVE, PHILADELPHIA, PA 19148-4110
(445) 207-6682
(445) 207-6706
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
Enumeration date
03/10/2022
Last updated
02/18/2025
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