Organization
UNIVERSAL DIALYSIS GROUP,INC.
Active
Organization
UNIVERSAL DIALYSIS GROUP,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE K. TERRY (CEO)
(845) 659-7478
Entity
Organization
Contact information
Practice address
290 CHESTNUT ST, NEWARK, NJ 07105-1559
(845) 659-7478
Mailing address
60 PARK PL, SUITE 601, NEWARK, NJ 07102-5511
(973) 353-0021
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2011
Last updated
01/14/2012
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