Organization
DIALYSIS CENTER OF WEST ORANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
101 OLD SHORT HILLS RD, SUITE 120, WEST ORANGE, NJ 07052-1080
(973) 736-8300
(973) 736-8320
Mailing address
101 OLD SHORT HILLS RD, SUITE 120, WEST ORANGE, NJ 07052-1080
(973) 736-8300
(973) 736-8320
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392316
—
NJ
Enumeration date
06/11/2013
Last updated
01/10/2023
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