Organization
RENAL TREATMENT CENTERS MID ATLANTIC INC
Active
Other names
Takoma Park Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1502 UNIVERSITY BLVD E, HYATTSVILLE, MD 20783-4620
(301) 408-1202
(301) 434-9278
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
E2590
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4068335 00
—
MD
Enumeration date
03/24/2006
Last updated
07/25/2025
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