Organization
NEWARK RENAL CENTERS, LLC
Active
Other names
Parkside Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI L BURRIER RN, MBA (DIRECTOR/VICE-PRESIDENT)
(954) 474-7701
Entity
Organization
Contact information
Practice address
580 FRELINGHUYSEN AVE, NEWARK, NJ 07114-1324
(973) 624-2226
(973) 624-5547
Mailing address
7061 CYPRESS RD, SUITE 104, PLANTATION, FL 33317-2243
(954) 474-7701
(954) 474-7702
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
40704
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4143809
—
NJ
Enumeration date
01/19/2006
Last updated
08/22/2020
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