Organization
FREEDOM HOME DIALYSIS, LLC
Active
Other names
FREEDOM HOME DIALYSIS
Organization subpart
No
Provider details
NPI number
Authorized official
BRANISLAV S ROMANIC MD (OWNER AND MEDICAL DIRECTOR)
(301) 663-9570
Entity
Organization
Contact information
Practice address
45 THOMAS JOHNSON DR, SUITE 211, FREDERICK, MD 21702-4425
(301) 624-1054
(301) 663-9571
Mailing address
45 THOMAS JOHNSON DR, SUITE 211, FREDERICK, MD 21702-4425
(301) 624-1054
(301) 663-9571
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
E2661
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419939100
—
MD
Enumeration date
10/26/2011
Last updated
10/26/2011
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