Organization
HAMILTON PARK DIALYSIS OPCO, LLC
Active
Other names
Alaris Health Dialysis at Hamilton Park
Organization subpart
No
Provider details
NPI number
Authorized official
SAM STERN (CFO)
(718) 567-0400
Entity
Organization
Contact information
Practice address
328 9TH ST, JERSEY CITY, NJ 07302-1502
(201) 516-7700
Mailing address
14C 53RD ST, SUITE 220, BROOKLYN, NY 11232-2644
(718) 567-0400
(718) 567-0600
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
11/10/2015
Last updated
11/10/2015
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