Organization
NORTHEAST PHILADELPHIA DIALYSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
9815 ROOSEVELT BLVD STE 1-A, PHILADELPHIA, PA 19114-1035
(215) 330-0494
(215) 330-0495
Mailing address
9815 ROOSEVELT BLVD STE 1-A, PHILADELPHIA, PA 19114-1035
(215) 330-0494
(215) 330-0495
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
01/10/2023
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