Organization
BELLEVILLE KIDNEY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER COLLINS RN, BSHCA (ADMINISTRATOR)
(973) 450-1560
Entity
Organization
Contact information
Practice address
500 CORTLANDT ST, BELLEVILLE, NJ 07109-3331
(718) 268-7347
(718) 575-3375
Mailing address
500 CORTLANDT ST, BELLEVILLE, NJ 07109-3331
(718) 268-7347
(718) 575-3375
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
NJ
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
Other
Enumeration date
06/02/2016
Last updated
12/07/2017
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