Organization
ADVANCED DIALYSIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINESSIA ZARITA PEARSON MSN (CFO)
(301) 943-7808
Entity
Organization
Contact information
Practice address
9101 LIBERTY RD, RANDALLSTOWN, MD 21133-3521
(410) 496-0077
(410) 496-6677
Mailing address
9320 ANNAPOLIS RD, LANHAM, MD 20706-3100
(301) 577-1007
(301) 577-1006
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
E2642R
MD
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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