Organization
NMS DIALYSIS OF HYATTSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN DEAN CANTELOPE (DIRECTOR OF ACCOUNTS RECEIVABLE)
(301) 864-2333
Entity
Organization
Contact information
Practice address
4922 LASALLE RD, HYATTSVILLE, MD 20782-3302
(301) 864-2333
(301) 864-0443
Mailing address
4922 LASALLE RD, HYATTSVILLE, MD 20782-3302
(301) 864-2333
(301) 864-0443
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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