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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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