Organization
NORTH CENTRAL PENNSYLVANIA DIALYSIS CLINICS-LEWISBURG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHESTER AMEDIA JR. M.D. (PRESIDENT)
(330) 781-6212
Entity
Organization
Contact information
Practice address
135 JPM RD, LEWISBURG, PA 17837-9313
(570) 768-4660
(570) 768-4662
Mailing address
4822 MARKET ST, SUITE 100, BOARDMAN, OH 44512-2122
(330) 781-6212
(330) 953-2041
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2010
Last updated
03/04/2015
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