Organization
CLYDESDALE DIALYSIS LLC
Active
Other names
Rockaway Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 320-4414
Entity
Organization
Contact information
Practice address
417 US HIGHWAY 46, DOVER, NJ 07801-3709
(862) 753-6007
(862) 296-0113
Mailing address
5200 VIRGINIA WAY, L AND C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4414
(866) 865-2884
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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