Organization
UNIVERSITY OF MD DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY J FRANEY (SENIOR VICE PRESIDNET & CFO)
(410) 328-3276
Entity
Organization
Contact information
Practice address
22 S GREENE STREET, 3RD FLOOR ROOM N3E12, BALTIMORE, MD 21201
(410) 328-8667
(410) 821-4189
Mailing address
1301 YORK ROAD, SUITE 600, LUTHERVILLE, MD 21093
(410) 821-4162
(410) 821-4189
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
30068
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
218212
ALLIANCE PPO
MD
01
—
57710801
BC MAGELLAN
MD
01
—
MC6
BC FEDERAL PROGRAM
MD
Enumeration date
01/29/2007
Last updated
08/22/2020
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