Organization
PHYSICIANS DIALYSIS ACQUISITIONS INC
Active
Other names
PDI Rocky Hill
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
30 WATERCHASE DR, ROCKY HILL, CT 06067-2110
(860) 563-6000
(860) 257-3895
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
270
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004219178
—
CT
Enumeration date
02/23/2006
Last updated
01/09/2025
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