Organization
NUTLEY KIDNEY CLINIC LLC
Active
Organization
NUTLEY KIDNEY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMESH SARVA (PRESIDENT)
(718) 268-4933
Entity
Organization
Contact information
Practice address
500 CORTLANDT ST, BELLEVILLE, NJ 07109-3331
(973) 450-7560
(973) 450-7568
Mailing address
10917 72ND RD, SUITE 6R, FOREST HILLS, NY 11375-5336
(718) 268-4933
(718) 575-3375
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
06/29/2010
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