Organization
CRRT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP G CALDERONE MD (PRESIDENT)
(609) 599-2778
Entity
Organization
Contact information
Practice address
512 UNION ST, TRENTON, NJ 08611-2800
(609) 599-2778
(609) 599-2774
Mailing address
512 UNION ST, TRENTON, NJ 08611-2800
(609) 599-2778
(609) 599-2774
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0275743
—
NJ
01
—
1184943060
NPI
NJ
Enumeration date
05/18/2010
Last updated
01/31/2017
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