Organization
BRABURRY DIALYSIS LLC
Active
Parent organization
DAVITA INC
Other names
South Edison Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVITA INC
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
561 US HIGHWAY 1, PAD H, EDISON, NJ 08817-4400
(908) 332-0239
(908) 332-0259
Mailing address
5200 VIRGINIA WAY, L AND C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4414
(866) 865-2884
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
01/25/2023
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