Organization
COURTLAND DIALYSIS CLINIC, LLC
Active
Other names
RENALIS COURTLAND
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN FINGLASS CPA (CFO)
(410) 766-1995
Entity
Organization
Contact information
Practice address
7920 SCOTTS LEVEL RD, BALTIMORE, MD 21208-2629
(410) 521-3600
Mailing address
8028 RITCHIE HWY, SUITE 210B, PASADENA, MD 21122-1075
(410) 799-1995
(410) 761-6095
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2015
Last updated
11/03/2021
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