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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