Organization
DIALYZE DIRECT PA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA ROTHENBERG (PRESIDENT)
(732) 886-9990
Entity
Organization
Contact information
Practice address
7107 OLD YORK RD, PHILADELPHIA, PA 19126-2114
(610) 520-7277
Mailing address
3297 STATE ROUTE 66, NEPTUNE, NJ 07753-2762
(732) 806-9990
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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