Organization
HAMILTON PARK DIALYSIS OPCO, LLC
Active
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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