Organization
HAMILTON PARK RENAL DIALYSIS CENTER, INC.
Active
Organization
HAMILTON PARK RENAL DIALYSIS CENTER, INC.
Active
Other names
Hamilton Park Renal Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN POLEVOY (CONTROLLER)
(201) 516-8564
Entity
Organization
Contact information
Practice address
328 9TH ST, JERSEY CITY, NJ 07302-1502
(201) 516-8564
(201) 516-8586
Mailing address
328 9TH ST, JERSEY CITY, NJ 07302-1502
(201) 516-8564
(201) 516-8586
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
23196
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055492
—
NJ
Enumeration date
07/01/2005
Last updated
05/04/2012
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