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Organization

SIMEON DIALYSIS LLC

Active
Other names
St Josephs Wayne Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization

Contact information

Practice address
57 WILLOWBROOK BLVD, FL 2, WAYNE, NJ 07470-7045
(973) 890-2792
(973) 890-2796
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
22344
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0297852
NJ
Enumeration date
12/11/2011
Last updated
03/04/2026
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