Organization
SHINING STAR DIALYSIS INC
Active
Other names
Newark Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (VICE PRESIDENT/CONTROLLER)
(253) 382-1919
Entity
Organization
Contact information
Practice address
571 CENTRAL AVE, NEWARK, NJ 07107-1463
(973) 484-4994
(973) 484-4434
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4218
(303) 209-7825
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
06/25/2008
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