Organization
PHYSICIANS DIALYSIS AT WATER'S EDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN JEGER (VICE PRESIDENT)
(305) 651-3261
Entity
Organization
Contact information
Practice address
512 UNION ST, TRENTON, NJ 08611-2800
(305) 651-3261
Mailing address
19559 NE 10TH AVE, NORTH MIAMI BEACH, FL 33179-3501
(305) 651-3261
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
05/11/2020
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