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Organization

FREDERICK RENAL CARE LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALEISTER CORTELING (ADMINISTRATOR)
(301) 696-2290
Entity
Organization

Contact information

Practice address
405 W SEVENTH ST, SUITE A, FREDERICK, MD 21701-4505
(301) 696-2290
(301) 696-5580
Mailing address
405 W 7TH ST, SUITE A, FREDERICK, MD 21701-4505
(301) 696-2290
(301) 696-5580

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
08/11/2007
Last updated
05/25/2011
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